Darryl Lamont Davenport, PA-C is a medicare enrolled "Physician Assistant - Medical" in Camp Pendlton, California. His current practice location is
200 Mercy Cr, Camp Pendlton, California. You can reach out to his office (for appointments etc.) via phone at
(951) 308-2200.
Darryl Lamont Davenport is licensed to practice in California (license number 54451) 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 1396900965.
Provider's Profile
| Full Name | Darryl Lamont Davenport |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 200 Mercy Cr, Camp Pendlton, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Darryl Lamont Davenport attended and graduated from in
NPI Data:
- NPI Number: 1396900965
- Provider Enumeration Date: 07/23/2008
- Last Update Date: 03/11/2025
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Darryl Lamont Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396900965 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 54451 (California) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 54451 (California) | Primary |
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. Darryl Lamont 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 |
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Darryl Lamont Davenport, PA-C
3406a Daly St,
Twentynine Palms, CA 92277-9467
Ph: (760) 830-6065 | Darryl Lamont Davenport, PA-C
200 Mercy Cr,
Camp Pendlton, CA 92055
Ph: (951) 308-2200 |
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