Mr Michael James Davanzo, PA-C is a medicare enrolled "Physician Assistant" in Sneads Ferry, North Carolina. He graduated from nursing school in 2009 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Island Family Medicine Pllc, Nc Health Care Services, Pc and his current practice location is
346 W Goldeneye Ln, Sneads Ferry, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 682-6654.
Mr Michael James Davanzo is licensed to practice in North Carolina (license number 0010-01885) 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 1285864991.
Provider's Profile
| Full Name | Mr Michael James Davanzo |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 16 Years |
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| Location | 346 W Goldeneye Ln, Sneads Ferry, North Carolina |
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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:
- Mr Michael James Davanzo graduated from nursing school in 2009
NPI Data:
- NPI Number: 1285864991
- Provider Enumeration Date: 07/16/2009
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2466505821
- Enrollment ID: I20090803000008
Medical Identifiers
Medical identifiers for Mr Michael James Davanzo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285864991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0010-01885 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Island Family Medicine Pllc | 8123156445 | 4 |
| Nc Health Care Services, Pc | 9830540558 | 151 |
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 Michael James Davanzo 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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Mr Michael James Davanzo, PA-C
Po Box 602362,
Charlotte, NC 28260-2362
Ph: (336) 765-2500 | Mr Michael James Davanzo, PA-C
346 W Goldeneye Ln,
Sneads Ferry, NC 28460-8096
Ph: (336) 682-6654 |
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