Mark B Davenport, MD in Fullerton, CA - Medicare Family Practice

Mark B Davenport, MD is a medicare enrolled "Family Medicine" physician in Fullerton, California. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Medical Foundation and his current practice location is 1835 Sunny Crest Dr, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 446-5101.

Mark B Davenport is licensed to practice in California (license number A40119) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1679569636.

Contact Information

	Mark B Davenport, MD
	1835 Sunny Crest Dr, Fullerton, CA 92835-3616
	(714) 446-5101
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark B Davenport
Gender	Male
Speciality	Family Practice
Experience	42 Years
Location	1835 Sunny Crest Dr, Fullerton, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mark B Davenport graduated from medical school in 1982

NPI Data:

NPI Number: 1679569636
Provider Enumeration Date: 09/26/2005
Last Update Date: 10/19/2020

Medicare PECOS Information:

PECOS PAC ID: 8527196047
Enrollment ID: I20100504000541

Medical Identifiers

Medical identifiers for Mark B Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679569636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A40119 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Jude Medical Center	Fullerton, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Foundation	8921993205	1293

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. Mark B Davenport allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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. Mark B 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
Mark B Davenport, MD 1835 Sunny Crest Dr, Fullerton, CA 92835-3616 Ph: () -	Mark B Davenport, MD 1835 Sunny Crest Dr, Fullerton, CA 92835-3616 Ph: (714) 446-5101

Reviews and Comments

Family Medicine Doctors in Fullerton, CA

Ynolde Faustina Smith, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2151 N Harbor Blvd, Suite 3200, Fullerton, CA 92835 Phone: 714-446-5101 Fax: 714-871-3006
Milie Marie Tolentino, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 731 S Highland Ave, Fullerton, CA 92832 Phone: 714-446-5100 Fax: 714-449-1743
Dr. Wonbae Choe, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 720 N Harbor Blvd, Fullerton, CA 92832 Phone: 714-782-7700 Fax: 714-982-3979
Marisse Herrera, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1440 N Harbor Blvd Ste 110, Fullerton, CA 92835 Phone: 657-212-3212
Christopher Aou, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1835 Sunny Crest Dr, Fullerton, CA 92835 Phone: 714-446-5101
Dr. Anne Amer, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1006 E Bastanchury Rd, Fullerton, CA 92835 Phone: 714-255-1790 Fax: 714-255-1733
Dr. Henry Rivera Kaw Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 321 N Pomona Ave, Suite B, Fullerton, CA 92832 Phone: 714-462-8383 Fax: 714-462-8384

Mark B Davenport, MD - Medicare Family Practice in Fullerton, CA