Jillian Renee Davenport, MD in Arroyo Grande, CA

Jillian Renee Davenport, MD is a medicare enrolled "Pediatrics" physician in Arroyo Grande, California. Her current practice location is 230 Station Way Ste B, Arroyo Grande, California. You can reach out to her office (for appointments etc.) via phone at (805) 473-3262.

Jillian Renee Davenport is licensed to practice in California (license number A140588) 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 1093133340.

Contact Information

	Jillian Renee Davenport, MD
	230 Station Way Ste B, Arroyo Grande, CA 93420-3383
	(805) 473-3262
	(805) 473-3707

Map and Direction

Physician's Profile

Full Name	Jillian Renee Davenport
Gender	Female
Speciality	Pediatrics
Location	230 Station Way Ste B, Arroyo Grande, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093133340
Provider Enumeration Date: 04/03/2014
Last Update Date: 10/03/2025

Medicare PECOS Information:

PECOS PAC ID: 9133419906
Enrollment ID: I20181205003069

Medical Identifiers

Medical identifiers for Jillian Renee Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093133340	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A140588 (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. Jillian Renee Davenport allows following entities to bill medicare on her behalf.

Entity Name	Community Health Centers Of The Central Coast Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336166248 PECOS PAC ID: 7416868120 Enrollment ID: O20040115001161

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. Jillian Renee 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
Jillian Renee Davenport, MD 230 Station Way Ste B, Arroyo Grande, CA 93420-3383 Ph: (805) 473-3262	Jillian Renee Davenport, MD 230 Station Way Ste B, Arroyo Grande, CA 93420-3383 Ph: (805) 473-3262

Reviews and Comments

Pediatrics Doctors in Arroyo Grande, CA

Roberta Joy Hayertz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 912 Printz Rd, Arroyo Grande, CA 93420 Phone: 805-473-0297
Dr. Jeffrey S. Thompson, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 260 Station Way, Suite D, Arroyo Grande, CA 93420 Phone: 805-473-2828 Fax: 805-473-0149
Dr. Evelyn Mary Boyle, MD., FAAP Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 336 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-481-3658
William S. Morgan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 154 Traffic Way, Arroyo Grande, CA 93420 Phone: 805-473-3262 Fax: 805-473-3707

Jillian Renee Davenport, MD - Medicare Pediatrics in Arroyo Grande, CA