Carl Robert Davis, CRNA | |
2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864-2408 | |
(618) 241-1108 | |
(618) 241-3805 |
Full Name | Carl Robert Davis |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 2 Good Samaritan Way, Mount Vernon, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992188338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 209012907 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Paducah | Paducah, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Apex Anesthesia Partners Pllc | 3476891656 | 34 |
Entity Name | Northstar Anesthesia Of Kentucky, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386938900 PECOS PAC ID: 8628248069 Enrollment ID: O20110823000443 |
Entity Name | Apex Anesthesia Partners Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902373772 PECOS PAC ID: 3476891656 Enrollment ID: O20190213001951 |
Mailing Address | Practice Location Address |
---|---|
Carl Robert Davis, CRNA 4227 Lincolnshire Dr, Mount Vernon, IL 62864-2157 Ph: (618) 241-1108 | Carl Robert Davis, CRNA 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864-2408 Ph: (618) 241-1108 |
Jamie Josephine Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 161-889-9386 | |
Jonathan L Sorenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way, Suite 205, Mount Vernon, IL 62864 Phone: 618-241-1108 Fax: 618-241-3805 | |
Jeanette Ilene Ellis, NURSE ANESTHETIST Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way Ste 205, Mount Vernon, IL 62864 Phone: 618-899-3869 Fax: 618-899-3558 | |
Mr. Richard Lawrence Scott Iii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 314-722-6713 | |
David Peter Rakey, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1011 Wilshire Dr, Mount Vernon, IL 62864 Phone: 618-242-4150 Fax: 618-244-1696 | |
Vincent Coty Compton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8 Doctors Park Rd, Mount Vernon, IL 62864 Phone: 618-244-5500 | |
Elizabeth Eggemeyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Good Samaritan Way, Ste 205, Mount Vernon, IL 62864 Phone: 618-899-3869 Fax: 618-899-3558 |