Dr Courtney Deanne Davenport, DNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Billings, Missouri. Her current practice location is
311 Bronco Lane, Billings, Missouri. You can reach out to her office (for appointments etc.) via phone at
(417) 576-7869.
Dr Courtney Deanne Davenport is licensed to practice in Missouri (license number 2018034729) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1558145516.
Provider's Profile
| Full Name | Dr Courtney Deanne Davenport |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Gerontology |
|---|
| Location | 311 Bronco Lane, Billings, Missouri |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558145516
- Provider Enumeration Date: 08/22/2023
- Last Update Date: 07/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 7517313919
- Enrollment ID: I20231020001632
Medical Identifiers
Medical identifiers for Dr Courtney Deanne Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558145516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LG0600X | Nurse Practitioner - Gerontology | 2023036518 (Missouri) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 2018034729 (Missouri) | Primary |
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. Dr Courtney Deanne Davenport allows following entities to bill medicare on her behalf.
| Entity Name | Np Health Of Mo Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477170959 PECOS PAC ID: 4183047053 Enrollment ID: O20200710000779 |
|---|
| Entity Name | Hines Street Pharmacy 2 Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1790439842 PECOS PAC ID: 0840685806 Enrollment ID: O20240328002606 |
|---|
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. Dr Courtney Deanne 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 |
Dr Courtney Deanne Davenport, DNP 311 Bronco Lane, Billings, MO 65610-1941 Ph: (417) 576-7869 | Dr Courtney Deanne Davenport, DNP 311 Bronco Lane, Billings, MO 65610-1941 Ph: (417) 576-7869 |
Reviews and Comments