Larisa Davydova, in Englewood, NJ - Medicare Certified Registered Nurse Anesthetist (crna)

Larisa Davydova, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Englewood, New Jersey. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Florida Clinical Practice Association Inc and her current practice location is 350 Engle St, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (718) 354-9846.

Larisa Davydova is licensed to practice in Florida (license number APRN11000691) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1861940694.

Contact Information

	Larisa Davydova,
	350 Engle St, Englewood, NJ 07631-1808
	(718) 354-9846
	Not Available

Map and Direction

Provider's Profile

Full Name	Larisa Davydova
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	8 Years
Location	350 Engle St, Englewood, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Larisa Davydova graduated from nursing school in 2016

NPI Data:

NPI Number: 1861940694
Provider Enumeration Date: 09/21/2016
Last Update Date: 01/11/2021

Medicare PECOS Information:

PECOS PAC ID: 2567742034
Enrollment ID: I20190618001592

Medical Identifiers

Medical identifiers for Larisa Davydova such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861940694	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	6740 (Connecticut)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN11000691 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Halifax Health Medical Center	Daytona beach, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Florida Clinical Practice Association Inc	0345146254	1622

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. Larisa Davydova allows following entities to bill medicare on her behalf.

Entity Name	Florida Clinical Practice Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

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. Larisa Davydova 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 Address	Practice Location Address
Larisa Davydova, 1329 Sw 16th St Rm 2232, Gainesville, FL 32608-1128 Ph: (352) 733-0485	Larisa Davydova, 350 Engle St, Englewood, NJ 07631-1808 Ph: (718) 354-9846

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Englewood, NJ

Digna Cruz, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585
Joseph Pollock, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3000
Barbara Shackford, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585
Martina E Robinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 350 Engle St, Anesthesia Department, Englewood, NJ 07631 Phone: 201-894-3322 Fax: 201-894-0585
Reinhard Kopping, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3238 Fax: 201-894-0585
Mary Krupa, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 201-894-3322 Fax: 201-894-0585
Nicholas Choi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 350 Engle St, Englewood, NJ 07631 Phone: 646-533-2399

Larisa Davydova, - Medicare Certified Registered Nurse Anesthetist (crna) in Englewood, NJ