Jennifer R Davoudi, CRNA - Medicare Nurse Anesthetist, Certified Registered in San Jose, CA

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Jennifer R Davoudi, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Jose, California. Her current practice location is 250 Hospital Pkwy, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (408) 972-6320.

Jennifer R Davoudi is licensed to practice in California (license number 521627-2862) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1407905920.

Contact Information

Jennifer R Davoudi, CRNA
250 Hospital Pkwy,
San Jose, CA 95119-1103
(408) 972-6320
Not Available

Map and Direction




Provider's Profile

Full NameJennifer R Davoudi
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location250 Hospital Pkwy, San Jose, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407905920
  • Provider Enumeration Date: 01/10/2007
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0547250409
  • Enrollment ID: I20040513001184

Medical Identifiers

Medical identifiers for Jennifer R Davoudi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407905920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 521627-2862 (California)Primary

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. Jennifer R Davoudi allows following entities to bill medicare on her behalf.
Entity NamePermanente Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710
Entity NameEmpire Anesthesia Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174792261
PECOS PAC ID: 8224197108
Enrollment ID: O20081106000675
Entity NameMaitran Consulting Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003572769
PECOS PAC ID: 2567858764
Enrollment ID: O20220414001359
Entity NameApa Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700596111
PECOS PAC ID: 7315303476
Enrollment ID: O20230515002560

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. Jennifer R Davoudi 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
Jennifer R Davoudi, CRNA
Po Box 18275,
San Jose, CA 95158-8275

Ph: (408) 972-6320		Jennifer R Davoudi, CRNA
250 Hospital Pkwy,
San Jose, CA 95119-1103

Ph: (408) 972-6320

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in San Jose, CA

Tiassa Lena Powell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 250 Hospital Pkwy, San Jose, CA 95119
Phone: 408-972-3000    
Mrs. Melinda K Moye, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128
Phone: 408-793-6515    Fax: 408-885-7307
Lindsay Bradley, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 250 Hospital Pkwy, San Jose, CA 95119
Phone: 408-972-3000    
Mary A Carlisle, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 250 Hospital Pkwy, San Jose, CA 95119
Phone: 408-972-6320    
Anna Leonidovna Bibergal,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 260 International Cir, San Jose, CA 95119
Phone: 408-972-7000    
Angela Marie Sperry, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 751 S Bascom Ave, Anesthesiology Dept, San Jose, CA 95128
Phone: 408-885-5745    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.