| Sarah E Davenport, MD | |
| 119 Belmont St, Worcester, MA 01605-2903 | |
| (508) 334-6206 | |
| (508) 334-6083 | 
| Full Name | Sarah E Davenport | 
|---|---|
| Gender | Female | 
| Speciality | Pediatrics | 
| Location | 119 Belmont St, Worcester, Massachusetts | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1144372640 | NPI | - | NPPES | 
| 110092823A | Medicaid | MA | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208000000X | Pediatrics | 057795 (Georgia) | Secondary | 
| 208000000X | Pediatrics | 247061 (Massachusetts) | Primary | 
| Entity Name | Cooper Pediatric Specialists, Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1306867585 PECOS PAC ID: 9335211317 Enrollment ID: O20080708000593 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sarah E Davenport, MD Po Box 415348, Boston, MA 02241-5348 Ph: (002) 258-8858 | Sarah E Davenport, MD 119 Belmont St, Worcester, MA 01605-2903 Ph: (508) 334-6206 | 
| Marissa E Parrillo, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2164 Fax: 774-443-2062 | |
| Dr. Penny M. Feldman, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-441-8081 Fax: 774-441-8055 | |
| Dr. Linda D Sagor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655 Phone: 508-856-4198 Fax: 508-856-1042 | |
| Dr. Robert W Zavoski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 26 Queen Street, Worcester, MA 01610 Phone: 508-860-7800 Fax: 508-860-7925 | |
| Cornelius T Tyrrell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Department Of Pediatrics, Worcester, MA 01655 Phone: 508-334-7986 Fax: 508-334-7989 | |
| Callie M Stone, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 508-334-1000 | |
| Nura El-haj, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-441-8083 Fax: 774-441-8057 |