| Kenneth K Davenport, MD | |
|
1026 Goodyear Ave Ste 302b, Gadsden, AL 35903-1194 | |
| (256) 485-0899 | |
| (866) 265-9563 |
| Full Name | Kenneth K Davenport |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 1026 Goodyear Ave Ste 302b, Gadsden, Alabama |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891976833 | NPI | - | NPPES |
| 529203130 | Medicaid | AL | |
| 130499 | Medicaid | AL | |
| 511-17039 | Other | AL | BLUE CROSS BLUE SHIELD ALABAMA |
| D570 | Other | AL | MEDICARE GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 29230 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Gadsden Regional Medical Center | Gadsden, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifehealth Pc | 7315233954 | 14 |
| Entity Name | Lifehealth Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093168437 PECOS PAC ID: 7315233954 Enrollment ID: O20160908001598 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth K Davenport, MD 1026 Goodyear Ave Ste 302b, Gadsden, AL 35903-1194 Ph: (256) 485-0899 | Kenneth K Davenport, MD 1026 Goodyear Ave Ste 302b, Gadsden, AL 35903-1194 Ph: (256) 485-0899 |
Dr. Charles L Newman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 419 S 5th St, Gadsden, AL 35901 Phone: 256-547-6331 Fax: 256-547-1711 | |
Dr. Muhammad Lucman Akmal Anwer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1007 Goodyear Ave, Gadsden, AL 35903 Phone: 256-494-4000 | |
Dr. Robert Scott Myers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 Medical Center Dr, Suite 305, Gadsden, AL 35903 Phone: 256-494-8000 Fax: 256-494-0081 | |
Dr. Alberto Echeverri, M.D.,F.A.C.S. Surgery Medicare: Accepting Medicare Assignments Practice Location: 900 Goodyear Ave, Suite B, Gadsden, AL 35903 Phone: 256-492-0020 Fax: 256-492-0029 | |
Dr. Lucian Newman Iii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 419 S 5th St, Gadsden, AL 35901 Phone: 256-547-6331 Fax: 256-547-1711 | |
Florencia Andrea Pereira Zigante, MD Surgery Medicare: Medicare Enrolled Practice Location: 900 Goodyear Ave Ste B, Gadsden, AL 35903 Phone: 256-492-0020 Fax: 256-492-0029 | |
Paul Jorgen Nordness, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 419 S 5th St, Gadsden, AL 35901 Phone: 256-547-6331 Fax: 256-547-1711 |