Timothy C Davenport, MD in Jackson, TN

Timothy C Davenport, MD is a medicare enrolled "Urology" physician in Jackson, Tennessee. He went to University Of Tennessee, Hsc, College Of Medicine and graduated in 2004 and has 22 years of diverse experience with area of expertise as Urology. He is a member of the group practice Jackson Clinic Pa and his current practice location is 145 Innovation Dr, Ste 300, Jackson, Tennessee. You can reach out to his office (for appointments etc.) via phone at (731) 422-0213.

Timothy C Davenport is licensed to practice in Tennessee (license number 45054) 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 1760653505.

Contact Information

	Timothy C Davenport, MD
	145 Innovation Dr, Ste 300, Jackson, TN 38305-3019
	(731) 422-0213
	(731) 422-0402

Map and Direction

Physician's Profile

Full Name	Timothy C Davenport
Gender	Male
Speciality	Urology
Experience	22 Years
Location	145 Innovation Dr, Jackson, Tennessee
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:

Timothy C Davenport attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 2004

NPI Data:

NPI Number: 1760653505
Provider Enumeration Date: 03/20/2008
Last Update Date: 10/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9436209111
Enrollment ID: I20090618000568

Medical Identifiers

Medical identifiers for Timothy C Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760653505	NPI	-	NPPES
4231017	Other	TN	BCBS NUMBER
1514816	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	45054 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Memorial Hospital - Carroll County	Huntingdon, TN	Hospital
Jackson-madison County General Hospital	Jackson, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jackson Clinic Pa	2668376872	189

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. Timothy C Davenport allows following entities to bill medicare on his behalf.

Entity Name	Jackson Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285629386 PECOS PAC ID: 2668376872 Enrollment ID: O20040318000962

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. Timothy C 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
Timothy C Davenport, MD Po Box 400, Jackson, TN 38302-0400 Ph: (731) 425-5752	Timothy C Davenport, MD 145 Innovation Dr, Ste 300, Jackson, TN 38305-3019 Ph: (731) 422-0213

Reviews and Comments

Urology Doctors in Jackson, TN

Dr. Peter G Lawrence, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 28 Medical Center Dr, Jackson, TN 38301 Phone: 731-427-9971 Fax: 731-424-2052
John L Shaw Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 379 Hospital Blvd, Jackson, TN 38305 Phone: 731-240-1777 Fax: 731-427-9973
Dr. Donald T Mcknight, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 28 Medical Center Dr, Jackson, TN 38301 Phone: 731-427-9971 Fax: 731-424-2052
James R Appleton Jr., MD Urology Medicare: Medicare Enrolled Practice Location: 616 W Forest Ave, Jackson, TN 38301 Phone: 731-422-0292 Fax: 731-422-0402
Dr. David G. Burleson, M.D. Urology Medicare: Medicare Enrolled Practice Location: 28 Medical Center Dr, Jackson, TN 38301 Phone: 731-427-9971 Fax: 731-424-2052
Dr. Raymond C Howard, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 28 Medical Center Dr, Jackson, TN 38301 Phone: 731-427-9971 Fax: 731-424-2052
Dr. John B Carraher, M.D. Urology Medicare: Medicare Enrolled Practice Location: 28 Medical Center Dr, Jackson, TN 38301 Phone: 731-427-9971 Fax: 731-424-2052

Timothy C Davenport, MD - Medicare Urology in Jackson, TN