Mike S Davenport, FNP in Mc Leansboro, IL - Medicare Nurse Practitioner

Mike S Davenport, FNP is a medicare enrolled "Nurse Practitioner" in Mc Leansboro, Illinois. He graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Ferrell Hospital Community Foundation and his current practice location is 206 S Washington St, Mc Leansboro, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 643-2835.

Mike S Davenport is licensed to practice in Illinois (license number 209.005569) 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 1295789576.

Contact Information

	Mike S Davenport, FNP
	206 S Washington St, Mc Leansboro, IL 62859-1139
	(618) 643-2835
	(618) 643-2891

Map and Direction

Provider's Profile

Full Name	Mike S Davenport
Gender	Male
Speciality	Nurse Practitioner
Experience	25 Years
Location	206 S Washington St, Mc Leansboro, Illinois
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:

Mike S Davenport graduated from nursing school in 1999

NPI Data:

NPI Number: 1295789576
Provider Enumeration Date: 05/20/2006
Last Update Date: 04/22/2022

Medicare PECOS Information:

PECOS PAC ID: 2062434616
Enrollment ID: I20051222000477

Medical Identifiers

Medical identifiers for Mike S Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295789576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.005569 (Illinois)	Secondary
363L00000X	Nurse Practitioner	209.005569 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lhc-illinois Home Health Care	Marion, IL	Home health agency
Ferrell Hospital Community Foundations	Eldorado, IL	Hospital
Hamilton Memorial Hospital	Mcleansboro, IL	Hospital
Ssm Health - Good Samaritan Hospital	Mount vernon, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ferrell Hospital Community Foundation	1355389453	48

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. Mike S Davenport allows following entities to bill medicare on his behalf.

Entity Name	Ferrell Hospital Community Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194713404 PECOS PAC ID: 1355389453 Enrollment ID: O20090630000256

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. Mike S 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
Mike S Davenport, FNP 206 S Washington St, Mc Leansboro, IL 62859-1139 Ph: (618) 643-2835	Mike S Davenport, FNP 206 S Washington St, Mc Leansboro, IL 62859-1139 Ph: (618) 643-2835

Reviews and Comments

Nurse Practitioner Nurses in Mc Leansboro, IL

Jaydra Woods, APN,FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 429, Mc Leansboro, IL 62859 Phone: 618-643-2361 Fax: 618-643-2502
Amy M Allen, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 206 S Washington St, Mc Leansboro, IL 62859 Phone: 618-643-2835 Fax: 618-643-2891
Morgan Warren, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 S Marshall Ave, Mc Leansboro, IL 62859 Phone: 618-643-2361
Mr. Wesley J Henson, F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 611 S Marshall Ave, Mc Leansboro, IL 62859 Phone: 618-252-8625 Fax: 618-252-2540
Melyssa Gayle Wiggins, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 208 S Washington St, Mc Leansboro, IL 62859 Phone: 618-643-2835 Fax: 618-643-2891
Mrs. Rene L Bernard, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 E Market St, Mc Leansboro, IL 62859 Phone: 618-643-3051 Fax: 618-643-3164

Mike S Davenport, FNP - Medicare Nurse Practitioner in Mc Leansboro, IL