| Dr Jeffrey Davenport Georgia, MD | |
|
140 Academy St, Presque Isle, ME 04769-3102 | |
| (207) 768-4000 | |
| Not Available |
| Full Name | Dr Jeffrey Davenport Georgia |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 45 Years |
| Location | 140 Academy St, Presque Isle, Maine |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417921842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD21428 (Maine) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036.177198 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| A R Gould Hospital | Presque isle, ME | Hospital |
| Southern Hills Hospital And Medical Center | Las vegas, NV | Hospital |
| Cary Medical Center | Caribou, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Aroostook Medical Center | 1153233663 | 115 |
| Lucidsolutions, Inc. | 0749603462 | 94 |
| Entity Name | Aroostook Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396858999 PECOS PAC ID: 1153233663 Enrollment ID: O20031104000020 |
| Entity Name | Lucidsolutions Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518594480 PECOS PAC ID: 0749603462 Enrollment ID: O20220303000223 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jeffrey Davenport Georgia, MD 11 Everett Dow Dr, Woolwich, ME 04579-4571 Ph: (207) 730-0954 | Dr Jeffrey Davenport Georgia, MD 140 Academy St, Presque Isle, ME 04769-3102 Ph: (207) 768-4000 |
Naghmeh Isfahanian, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 140 Academy St, Presque Isle, ME 04769 Phone: 289-707-4883 | |
Dr. Joseph S. Field, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 140 Academy St, Presque Isle, ME 04769 Phone: 207-768-4573 | |
David T Zamos, MD Radiology Medicare: Medicare Enrolled Practice Location: 140 Academy St, Presque Isle, ME 04769 Phone: 207-768-4573 | |
John R. Mullen, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 140 Academy St, Presque Isle, ME 04769 Phone: 207-768-4217 |