Michaela Davenport, in Agawam, MA - Medicare Physical Therapist Provider

Michaela Davenport, is a medicare enrolled "Physical Therapist" provider in Agawam, Massachusetts. Her current practice location is 470 Shoemaker Ln, Agawam, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 789-0752.

Michaela Davenport is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750193512.

Contact Information

	Michaela Davenport,
	470 Shoemaker Ln, Agawam, MA 01001-3620
	(413) 789-0752
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Michaela Davenport
Gender	Female
Speciality	Physical Therapist
Location	470 Shoemaker Ln, Agawam, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750193512
Provider Enumeration Date: 01/20/2025
Last Update Date: 01/20/2025

Medicare PECOS Information:

PECOS PAC ID: 5597295550
Enrollment ID: I20250206001879

Medical Identifiers

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

Identifier	Type	State	Issuer
1750193512	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	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. Michaela Davenport allows following entities to bill medicare on her behalf.

Provider Name	Resilience Physical Therapy And Wellness Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1679123582 PECOS PAC ID: 2567892607 Enrollment ID: O20200414000432

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. Michaela 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
Michaela Davenport, 1 Meg Pl, Rochdale, MA 01542-1030 Ph: () -	Michaela Davenport, 470 Shoemaker Ln, Agawam, MA 01001-3620 Ph: (413) 789-0752

Reviews and Comments

Physical Therapist in Agawam, MA

Almina Raneses, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 Suffield St, Agawam, MA 01001 Phone: 413-789-2200
Katrina Banks, PT, DPT, CSRS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 67 Hunt St Ste 207, Agawam, MA 01001 Phone: 413-318-4776 Fax: 413-358-4624
Barbara L. Andersen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Cooper St, Agawam, MA 01001 Phone: 413-786-8000
Zachary T Martin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 470 Shoemaker Ln, Agawam, MA 01001 Phone: 413-789-0752
Miss Ann Brosnan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 61 Cooper St, Agawam, MA 01001 Phone: 413-786-8000
Mrs. Ellen Price Reidy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 55 Cooper St, Agawam, MA 01001 Phone: 413-786-8000
Miss Kathleen Marie Cartier, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 464 Main St, Agawam, MA 01001 Phone: 413-786-8000

Michaela Davenport, - Medicare Physical Therapist in Agawam, MA