Adam Tyler Davenport, AGACNP-BC - Medicare Nurse Practitioner in Alex City, AL

Adam Tyler Davenport, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Alex City, Alabama. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice University Of Alabama Health Services Foundation, Pc and his current practice location is 3368 Highway 280 Ste 130, Alex City, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 234-2644.

Adam Tyler Davenport is licensed to practice in Alabama (license number 1-148279) 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 1922601921.

Contact Information

Adam Tyler Davenport, AGACNP-BC
3368 Highway 280 Ste 130,
Alex City, AL 35010-3375
(256) 234-2644
(256) 234-2704



Provider's Profile

Full NameAdam Tyler Davenport
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location3368 Highway 280 Ste 130, Alex City, Alabama
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:
  • Adam Tyler Davenport graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1922601921
  • Provider Enumeration Date: 11/20/2020
  • Last Update Date: 11/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0648683946
  • Enrollment ID: I20210105002857

Medical Identifiers

Medical identifiers for Adam Tyler Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922601921NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 1-148279 (Alabama)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Russell Medical CenterAlexander city, ALHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Alabama Health Services Foundation, Pc19512131072344

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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. Adam Tyler Davenport allows following entities to bill medicare on his behalf.
Entity NameUniversity Of Alabama Health Services Foundation, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093768723
PECOS PAC ID: 1951213107
Enrollment ID: O20031105000261

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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. Adam Tyler 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
Adam Tyler Davenport, AGACNP-BC
3930 Montclair Rd Apt E,
Mountain Brk, AL 35213-2424

Ph: (334) 398-1534
Adam Tyler Davenport, AGACNP-BC
3368 Highway 280 Ste 130,
Alex City, AL 35010-3375

Ph: (256) 234-2644

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Nurse Practitioner Nurses in Alex City, AL

Jennifer Allison Spann, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3368 Highway 280 Ste 130, Alex City, AL 35010
Phone: 256-234-2644    Fax: 256-234-2704

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