Dr Mary L Davenport, MD is a medicare enrolled "Obstetrics & Gynecology" physician in El Cerrito, California. She went to Tufts University School Of Medicine and graduated in 1975 and has 51 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Chuck R Colas Do Pc and her current practice location is
3060 El Cerrito Plz # 110, El Cerrito, California. You can reach out to her office (for appointments etc.) via phone at
(314) 888-5233.
Dr Mary L Davenport is licensed to practice in California (license number G33883) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588765721.
Physician's Profile
| Full Name | Dr Mary L Davenport |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 51 Years |
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| Location | 3060 El Cerrito Plz # 110, El Cerrito, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mary L Davenport attended and graduated from Tufts University School Of Medicine in 1975
NPI Data:
- NPI Number: 1588765721
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 02/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 3072577394
- Enrollment ID: I20041116001311
Medical Identifiers
Medical identifiers for Dr Mary L Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588765721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | G33883 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chuck R Colas Do Pc | 6204267305 | 3 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mary L Davenport allows following entities to bill medicare on her behalf.
| Entity Name | Chuck R Colas Do Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861022873
PECOS PAC ID: 6204267305
Enrollment ID: O20200505001484 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary L Davenport is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Dr Mary L Davenport, MD
3060 El Cerrito Plz # 110,
El Cerrito, CA 94530-4011
Ph: () - | Dr Mary L Davenport, MD
3060 El Cerrito Plz # 110,
El Cerrito, CA 94530-4011
Ph: (314) 888-5233 |
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