Angeline Marie Davis, CRNA | |
2204 Wilborn Ave, South Boston, VA 24592-1645 | |
(434) 517-3100 | |
Not Available |
Full Name | Angeline Marie Davis |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 6 Years |
Location | 2204 Wilborn Ave, South Boston, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871058008 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 124554 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Twin County Regional Hospital | Galax, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medstream Anesthesia Pllc | 7416198049 | 570 |
Entity Name | Dominion Health Medical Assoc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255771770 PECOS PAC ID: 1254311558 Enrollment ID: O20041206000840 |
Entity Name | Smg Anesthesia Specialists Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518205004 PECOS PAC ID: 6305081118 Enrollment ID: O20130327000494 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20130724000770 |
Mailing Address | Practice Location Address |
---|---|
Angeline Marie Davis, CRNA 3340 Shipley St Apt 1404, Ladson, SC 29456-4173 Ph: (804) 339-5260 | Angeline Marie Davis, CRNA 2204 Wilborn Ave, South Boston, VA 24592-1645 Ph: (434) 517-3100 |
Mr. Robert Easter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 803-370-1644 | |
Andrew D. Metz, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3122 Fax: 434-517-3060 | |
Ms. Julie Denise Hughes, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3100 | |
Alisyn L. Metz, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2204 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3122 Fax: 434-517-3060 |