Stephanie Anne Davenport, PAC in Troy, MI - Medicare Physician Assistant

Stephanie Anne Davenport, PAC is a medicare enrolled "Physician Assistant" in Troy, Michigan. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Beaumont Medical Group Hospital Based Services and her current practice location is 44201 Dequindre Rd, Troy, Michigan. You can reach out to her office (for appointments etc.) via phone at (248) 964-4866.

Stephanie Anne Davenport is licensed to practice in * (Not Available) (license number ) 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 1003862186.

Contact Information

	Stephanie Anne Davenport, PAC
	44201 Dequindre Rd, Troy, MI 48085-1117
	(248) 964-4866
	(248) 964-4848

Map and Direction

Provider's Profile

Full Name	Stephanie Anne Davenport
Gender	Female
Speciality	Physician Assistant
Experience	22 Years
Location	44201 Dequindre Rd, Troy, Michigan
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:

Stephanie Anne Davenport graduated from nursing school in 2002

NPI Data:

NPI Number: 1003862186
Provider Enumeration Date: 05/26/2006
Last Update Date: 07/15/2022

Medicare PECOS Information:

PECOS PAC ID: 1355422551
Enrollment ID: I20080114000548

Medical Identifiers

Medical identifiers for Stephanie Anne Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003862186	NPI	-	NPPES
1054094	Other	MI	NCCPA CERTIFICATE NUMBER
0E00425	Other	MI	BCBSM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary
363AS0400X	Physician Assistant - Surgical	(* (Not Available))	Secondary
363A00000X	Physician Assistant	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital, Troy	Troy, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Beaumont Medical Group Hospital Based Services	3072875889	457

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. Stephanie Anne 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
Stephanie Anne Davenport, PAC 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-1865	Stephanie Anne Davenport, PAC 44201 Dequindre Rd, Troy, MI 48085-1117 Ph: (248) 964-4866

Reviews and Comments

Physician Assistant Nurses in Troy, MI

Ms. Patricia A St. Marie, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4756 Squirrel Hill Dr, Troy, MI 48098 Phone: 248-267-0135 Fax: 248-338-5547
Ellen O Mcguire, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-4866 Fax: 248-964-4848
Samantha Grace Henderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-5000
Jenna Rayis, M.S., PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1777 Axtell Dr Ste 202, Troy, MI 48084 Phone: 248-594-3142 Fax: 248-594-3249
Michael F Parslow Jr., PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 750 Stephenson Hwy, Beaumont Payor Contract Services, Troy, MI 48083 Phone: 248-577-3519
Devon O'connor-kutz, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 44201 Dequindre Rd, Troy, MI 48085 Phone: 248-964-8432 Fax: 248-964-8420

Stephanie Anne Davenport, PAC - Medicare Physician Assistant in Troy, MI