Mrs Mardi L Davenport, NP in Surprise, AZ - Medicare Nurse Practitioner

Mrs Mardi L Davenport, NP is a medicare enrolled "Nurse Practitioner - Family" in Surprise, Arizona. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pinnacle Family Medicine Plc and her current practice location is 15474 W Greenway Rd, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Mrs Mardi L Davenport is licensed to practice in Arizona (license number AP3719) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1609182583.

Contact Information

	Mrs Mardi L Davenport, NP
	15474 W Greenway Rd, Surprise, AZ 85374-4348
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Mardi L Davenport
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	15474 W Greenway Rd, Surprise, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Mardi L Davenport graduated from nursing school in 2009

NPI Data:

NPI Number: 1609182583
Provider Enumeration Date: 08/30/2010
Last Update Date: 08/18/2016

Medicare PECOS Information:

PECOS PAC ID: 9739357575
Enrollment ID: I20110721000183

Medical Identifiers

Medical identifiers for Mrs Mardi L Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609182583	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP3719 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pinnacle Family Medicine Plc	7012015670	10

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. Mrs Mardi L Davenport allows following entities to bill medicare on her behalf.

Entity Name	Pinnacle Family Medicine Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639208325 PECOS PAC ID: 7012015670 Enrollment ID: O20070605000288

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. Mrs Mardi L 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
Mrs Mardi L Davenport, NP 15474 W Greenway Rd, Surprise, AZ 85374-4348 Ph: (866) 379-2727	Mrs Mardi L Davenport, NP 15474 W Greenway Rd, Surprise, AZ 85374-4348 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Surprise, AZ

Celine Tubillara Villariz, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14973 W Bell Rd Ste 100, Surprise, AZ 85374 Phone: 623-934-1245 Fax: 623-934-3598
Robert Wolfe, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18761 N Reems Rd Ste 400, Surprise, AZ 85374 Phone: 623-583-9180
Herlinda C Castro, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15351 W Bell Rd, Surprise, AZ 85374 Phone: 877-809-5092
Zofia Wilk, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13945 W Grand Ave Ste 105, Surprise, AZ 85374 Phone: 623-546-0007
Paige Leykam, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14780 W Mountain View Blvd Ste 211, Surprise, AZ 85374 Phone: 480-428-7678 Fax: 480-569-2708
Catherine Lisondra Krings, MSN,FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13945 W Grand Ave Ste A-105, Surprise, AZ 85374 Phone: 623-546-0007 Fax: 623-584-6915
Ogechi Ann Ohia, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12361 W Bola Dr Ste 109, Surprise, AZ 85378 Phone: 623-227-1000

Mrs Mardi L Davenport, NP - Medicare Nurse Practitioner in Surprise, AZ