| Dr Michelle Lee Davenport, MD | |
|
306 Pine Hill Rd, Elizabethton, TN 37643-2920 | |
| (423) 542-4189 | |
| (423) 542-4181 |
| Full Name | Dr Michelle Lee Davenport |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 28 Years |
| Location | 306 Pine Hill Rd, Elizabethton, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497813026 | NPI | - | NPPES |
| 3379172 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 36009 (Tennessee) | Primary |
| 208000000X | Pediatrics | 36009 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Care | Elizabethton, TN | Home health agency |
| Sycamore Shoals Hospital | Elizabethton, TN | Hospital |
| Johnson City Medical Center | Johnson city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Champion Physical Therapy Llc Halls | 1355416306 | 191 |
| James Lee Davenport | 1951438241 | 2 |
| Entity Name | James Lee Davenport |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184746869 PECOS PAC ID: 1951438241 Enrollment ID: O20100419000198 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michelle Lee Davenport, MD 306 Pine Hill Rd, Elizabethton, TN 37643-2920 Ph: (423) 542-4189 | Dr Michelle Lee Davenport, MD 306 Pine Hill Rd, Elizabethton, TN 37643-2920 Ph: (423) 542-4189 |
Abigail Gass, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1503 W Elk Ave Ste 5, Elizabethton, TN 37643 Phone: 423-542-0400 | |
Vivian M Clark, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1503 W Elk Ave, Suite 5, Elizabethton, TN 37643 Phone: 423-542-0400 Fax: 423-542-3265 | |
Jonathan Scott Bremer, M.D. Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1503 W Elk Ave, Suite 8, Elizabethton, TN 37643 Phone: 423-542-0400 Fax: 423-542-0201 |