| Rachel Lynn Davenport, PMHNP | |
|
615 N Promenade St, Havana, IL 62644-1243 | |
| (309) 543-6600 | |
| (866) 950-0270 |
| Full Name | Rachel Lynn Davenport |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 615 N Promenade St, Havana, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528841582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 209027879 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mason Hospital District | 2466360607 | 37 |
| Entity Name | Mason Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902849649 PECOS PAC ID: 2466360607 Enrollment ID: O20040412000399 |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Lynn Davenport, PMHNP 615 N Promenade St, Havana, IL 62644-1243 Ph: (309) 543-6600 | Rachel Lynn Davenport, PMHNP 615 N Promenade St, Havana, IL 62644-1243 Ph: (309) 543-6600 |
Ashley Marmon, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12528 Sr 78, Havana, IL 62644 Phone: 309-543-4253 Fax: 309-543-1060 | |
Kali Troxell, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 | |
Marsha R Kirchner, CF-NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 Fax: 309-543-2089 | |
Kaitlyn Lee Fields, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 | |
Chase Holtman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 Fax: 309-543-2089 | |
Jenna Elizabeth Ishmael, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 615 N Promenade St, Havana, IL 62644 Phone: 309-543-6600 |