Dr Michael Keith Davenport, MD - Medicare General Surgery in Edgewood, KY

Dr Michael Keith Davenport, MD is a medicare enrolled "Surgery" physician in Edgewood, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Summit Medical Group, Inc and his current practice location is 20 Medical Village Dr Ste 254, Edgewood, Kentucky. You can reach out to his office (for appointments etc.) via phone at (859) 344-1600.

Dr Michael Keith Davenport is licensed to practice in Kentucky (license number 32327) 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 1710982517.

Contact Information

Dr Michael Keith Davenport, MD
20 Medical Village Dr Ste 254,
Edgewood, KY 41017-5401
(859) 344-1600
(859) 344-0091



Physician's Profile

Full NameDr Michael Keith Davenport
GenderMale
SpecialityGeneral Surgery
Experience33 Years
Location20 Medical Village Dr Ste 254, Edgewood, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Michael Keith Davenport attended and graduated from University Of Louisville School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1710982517
  • Provider Enumeration Date: 06/17/2005
  • Last Update Date: 11/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 0749292811
  • Enrollment ID: I20060608000322

Medical Identifiers

Medical identifiers for Dr Michael Keith Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710982517NPI-NPPES
2469136MedicaidOH
7100056850MedicaidKY
200078970MedicaidIN
64323272MedicaidKY
020035820OtherRAILROAD MEDICARE
201067710MedicaidIN
P00670401OtherRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 32327 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth EdgewoodEdgewood, KYHospital
St Elizabeth FlorenceFlorence, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240693

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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. Dr Michael Keith Davenport allows following entities to bill medicare on his behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881026169
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738

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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. Dr Michael Keith 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 AddressPractice Location Address
Dr Michael Keith Davenport, MD
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 344-1600
Dr Michael Keith Davenport, MD
20 Medical Village Dr Ste 254,
Edgewood, KY 41017-5401

Ph: (859) 344-1600

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Surgery Doctors in Edgewood, KY

Dr. Steve Chausse, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 20 Medical Village Dr, Edgewood, KY 41017
Phone: 859-344-1600    Fax: 859-344-0091
Leonardo Anthony Geraci, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 20 Medical Village Dr, Edgewood, KY 41017
Phone: 859-578-5880    Fax: 859-578-5881
Dr. Sidney Donald Trogdon, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 20 Medical Village Dr, Edgewood, KY 41017
Phone: 859-344-1600    Fax: 859-344-0091
Dr. Edward H Caldwell, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 580 S Loop Rd, Suite 201, Edgewood, KY 41017
Phone: 859-344-1600    Fax: 859-344-0091
Douglas Allen Rodgers, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 20 Medical Village Dr, Edgewood, KY 41017
Phone: 859-344-1600    Fax: 859-344-0091
Anthony England, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 20 Medical Village Dr, Edgewood, KY 41017
Phone: 859-785-5880    Fax: 859-578-5881
Dr. Barry L Dick, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 580 S Loop Rd, Suite 201, Edgewood, KY 41017
Phone: 859-344-1600    Fax: 859-344-0091

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