Elaine E Davenport, MD in Berkeley, CA

Elaine E Davenport, MD is a medicare enrolled "Pediatrics" physician in Berkeley, California. Her current practice location is 1321 Mcgee Ave, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at (510) 558-0510.

Elaine E Davenport is licensed to practice in California (license number G77450) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558382242.

Contact Information

	Elaine E Davenport, MD
	1321 Mcgee Ave, Berkeley, CA 94703-1005
	(510) 558-0510
	Not Available

Map and Direction

Physician's Profile

Full Name	Elaine E Davenport
Gender	Female
Speciality	Pediatrics
Location	1321 Mcgee Ave, Berkeley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558382242
Provider Enumeration Date: 07/21/2006
Last Update Date: 02/11/2022

Medicare PECOS Information:

PECOS PAC ID: 6204071533
Enrollment ID: I20131226001105

Medical Identifiers

Medical identifiers for Elaine E Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558382242	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	G77450 (California)	Primary

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. Elaine E Davenport allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Elaine E 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
Elaine E Davenport, MD 1321 Mcgee Ave, Berkeley, CA 94703-1005 Ph: (510) 558-0510	Elaine E Davenport, MD 1321 Mcgee Ave, Berkeley, CA 94703-1005 Ph: (510) 558-0510

Reviews and Comments

Pediatrics Doctors in Berkeley, CA

Dr. Jaleh Niazi, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 Colusa Ave Ste 204, Berkeley, CA 94707 Phone: 510-465-4445
Courtney Wedl Pickering, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2999 Regent St Suite 325, Berkeley, CA 94705 Phone: 925-438-1100 Fax: 925-254-1054
Lisa S Kalar, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566
Jennifer A Miller, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2999 Regent St Ste 325, Berkeley, CA 94705 Phone: 925-438-1110 Fax: 510-841-5650
Gilbert Duritz, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 36 El Camino Real, Berkeley, CA 94705 Phone: 510-848-4581
Olivia Lang, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1650 Walnut St, Berkeley, CA 94709 Phone: 510-848-2566
Mrs. Lauren Katharine Ebe Bouton, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2999 Regent Street Suite 325, Berkeley, CA 94705 Phone: 925-438-1100

Elaine E Davenport, MD - Medicare Pediatrics in Berkeley, CA