Dr Terry Evert Davenport, DO - Medicare Family Practice in St Maries, ID

Dr Terry Evert Davenport, DO is a medicare enrolled "Family Medicine" physician in St Maries, Idaho. He went to College Of Osteo Med Of The Pacific At Pomona and graduated in 1991 and has 33 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Benewah Community Hospital and his current practice location is 229 S 8th St, St Maries, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 245-2591.

Dr Terry Evert Davenport is licensed to practice in Idaho (license number O-130) 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 1710974191.

Contact Information

Dr Terry Evert Davenport, DO
229 S 8th St,
St Maries, ID 83861-1813
(208) 245-2591
(208) 245-5246



Physician's Profile

Full NameDr Terry Evert Davenport
GenderMale
SpecialityFamily Practice
Experience33 Years
Location229 S 8th St, St Maries, Idaho
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 Terry Evert Davenport attended and graduated from College Of Osteo Med Of The Pacific At Pomona in 1991
  NPI Data:
  • NPI Number: 1710974191
  • Provider Enumeration Date: 09/30/2005
  • Last Update Date: 11/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5092857029
  • Enrollment ID: I20100128000563

Medical Identifiers

Medical identifiers for Dr Terry Evert Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710974191NPI-NPPES
601415700OtherDEEIOC
S1303OtherIDBLUE CROSS OF ID
123363OtherWADEPT OF LABOR&INDUSTRIES
8434839MedicaidWA
805169900MedicaidID
000010004699OtherIDREGENCE BS OF ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist O-130 (Idaho)Secondary
207Q00000XFamily Medicine O-130 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospice Of North IdahoHayden, IDHospice
Benewah Community HospitalSt maries, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Benewah Community Hospital185020070019

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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 Terry Evert Davenport allows following entities to bill medicare on his behalf.
Entity NameBenewah Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386632180
PECOS PAC ID: 1850200700
Enrollment ID: O20040927000265

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Entity NameBenewah Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1548320435
PECOS PAC ID: 1850200700
Enrollment ID: O20061104000136

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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 Terry Evert 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 Terry Evert Davenport, DO
229 S 8th St,
St Maries, ID 83861-1813

Ph: (208) 245-2591
Dr Terry Evert Davenport, DO
229 S 8th St,
St Maries, ID 83861-1813

Ph: (208) 245-2591

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Phase 3 clinical study results of Ketotransdel topical cream to be presented

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A positive announcement for DePuy Synthes' ATTUNE® Knee System

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Coronary artery disease (CAD) is a leading cause of death worldwide. Despite dozens of regions in the genome associated with CAD, most of the genetic components of heart diseases are not fully understood, suggesting that more genes are out there to be found.

Read more News

› Verified 2 days ago


Family Medicine Doctors in St Maries, ID

Karen D Libsch, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 229 S 8th St, St Maries, ID 83861
Phone: 208-245-2591    Fax: 208-245-5246
Dr. Frederick Paul Ragan, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 229 S 7th St, St Maries, ID 83861
Phone: 208-245-7623    
Dr. Daniel Cooper Wester, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 229 S 7th St, St Maries, ID 83861
Phone: 208-245-5111    Fax: 208-245-9303

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