Mr Devan Louis Depauw, PA-C - Medicare Physician Assistant in Davenport, IA

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Mr Devan Louis Depauw, PA-C is a medicare enrolled "Physician Assistant - Medical" in Davenport, Iowa. His current practice location is 1227 East Rusholme St., Davenport, Iowa. You can reach out to his office (for appointments etc.) via phone at (563) 421-1000.

Mr Devan Louis Depauw is licensed to practice in Iowa (license number 090689) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1558869321.

Contact Information

Mr Devan Louis Depauw, PA-C
1227 East Rusholme St.,
Davenport, IA 52803
(563) 421-1000
Not Available

Map and Direction




Provider's Profile

Full NameMr Devan Louis Depauw
GenderMale
SpecialityPhysician Assistant - Medical
Location1227 East Rusholme St., Davenport, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558869321
  • Provider Enumeration Date: 01/26/2018
  • Last Update Date: 01/26/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0941561062
  • Enrollment ID: I20180305002557

Medical Identifiers

Medical identifiers for Mr Devan Louis Depauw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558869321NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 090689 (Iowa)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. Mr Devan Louis Depauw allows following entities to bill medicare on his behalf.
Entity NameLinn County Emergency Medicine PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679521124
PECOS PAC ID: 9830089275
Enrollment ID: O20040318000709
Entity NameGenesis Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528616901
PECOS PAC ID: 6103829338
Enrollment ID: O20191031002622
Entity NameJohnson County Emergency Medicine PLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316582729
PECOS PAC ID: 6901231810
Enrollment ID: O20200123001944
Entity NameVituity-iowa PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437932928
PECOS PAC ID: 3476909409
Enrollment ID: O20231027001912

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. Mr Devan Louis Depauw 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 AddressPractice Location Address
Mr Devan Louis Depauw, PA-C
5601 Eastern Ave. P2,
Davenport, IA 52807

Ph: (309) 945-2695		Mr Devan Louis Depauw, PA-C
1227 East Rusholme St.,
Davenport, IA 52803

Ph: (563) 421-1000

Reviews and Comments


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Miss Taylor Evelyn Timpe,
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Practice Location: 1227 E Rusholme St, Davenport, IA 52803
Phone: 563-421-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.