Max D Daviault, CRNA in Bangor, ME - Medicare Certified Registered Nurse Anesthetist (crna)

Max D Daviault, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bangor, Maine. He graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Maine Coast Regional Health Facilities, Eastern Maine Medical Center and his current practice location is 307 Husson Ave Apt G, Bangor, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 944-9543.

Max D Daviault is licensed to practice in Maine (license number RNA83307) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417055328.

Contact Information

	Max D Daviault, CRNA
	307 Husson Ave Apt G, Bangor, ME 04401-3271
	(207) 944-9543
	Not Available

Map and Direction

Provider's Profile

Full Name	Max D Daviault
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	307 Husson Ave Apt G, Bangor, Maine
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Max D Daviault graduated from nursing school in 2005

NPI Data:

NPI Number: 1417055328
Provider Enumeration Date: 09/21/2006
Last Update Date: 05/19/2021

Medicare PECOS Information:

PECOS PAC ID: 7911912159
Enrollment ID: I20060209000414

Medical Identifiers

Medical identifiers for Max D Daviault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417055328	NPI	-	NPPES
200051	Other	ME	MED B - BHMH
ME181201	Other	ME	MED B - PERS FOR 200051

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	049419 (Maine)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RNA83307 (Maine)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northern Light Maine Coast Hospital	Ellsworth, ME	Hospital
Eastern Maine Medical Center	Bangor, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Maine Coast Regional Health Facilities	1052208113	80
Eastern Maine Medical Center	2062315161	588

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. Max D Daviault allows following entities to bill medicare on his behalf.

Entity Name	Eastern Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088

Entity Name	Penobscot Valley Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093716086 PECOS PAC ID: 8426942889 Enrollment ID: O20040209000635

Entity Name	Acadia Medical Arts Anesthesia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124185376 PECOS PAC ID: 6002802345 Enrollment ID: O20040422000859

Entity Name	Eastern Maine Healthcare Systems Inland Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376579557 PECOS PAC ID: 6305817503 Enrollment ID: O20040802001656

Entity Name	Maine Coast Regional Health Facilities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740249739 PECOS PAC ID: 1052208113 Enrollment ID: O20040804001405

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. Max D Daviault 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
Max D Daviault, CRNA 307 Husson Ave Apt G, Bangor, ME 04401-3271 Ph: (207) 944-9543	Max D Daviault, CRNA 307 Husson Ave Apt G, Bangor, ME 04401-3271 Ph: (207) 944-9543

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Bangor, ME

Jaime Lee Naughton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132
Susan Lind, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132
Mrs. Elizabeth R Marshall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132
Jesse Knowlton, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 360 Broadway, Bangor, ME 04401 Phone: 207-907-1430 Fax: 207-907-3508
Mr. Timothy F Gale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132
Patricia L. Kennedy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-973-4519
Daniel S Groves, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 489 State St, Bangor, ME 04401 Phone: 207-973-4519 Fax: 207-992-4132

Max D Daviault, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Bangor, ME