Jacob A Davis, CRNA | |
3510 N Causeway Blvd, Suite 404, Metairie, LA 70002-3531 | |
(504) 779-5515 | |
(504) 779-5568 |
Full Name | Jacob A Davis |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 12 Years |
Location | 3510 N Causeway Blvd, Metairie, Louisiana |
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 |
---|---|---|---|
1831436906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | RN114748 (Louisiana) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 0024175305 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southside Regional Medical Center | Petersburg, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
American Anesthesiology Of Virginia Pc | 6800790023 | 542 |
Entity Name | Cmh Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
Entity Name | American Anesthesiology Of Virginia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606 |
Mailing Address | Practice Location Address |
---|---|
Jacob A Davis, CRNA 255 W Michigan Ave, Po Box 1123, Jackson, MI 49201-2218 Ph: (800) 242-1131 | Jacob A Davis, CRNA 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002-3531 Ph: (504) 779-5515 |
Kristi F Simon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 | |
Brian F. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Dominick Diecidue, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Brandon C. Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 Fax: 504-779-5568 | |
Joellyn Mary Grass, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3510 N Causeway Blvd, Metairie, LA 70002 Phone: 504-779-5515 | |
Ronald E. Bankert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002 Phone: 504-779-5515 | |
Terri S Denny, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4430 Veterans Memorial Blvd, Metairie, LA 70006 Phone: 866-624-7637 |