Miss Amy Theresa David, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Ventress, Louisiana. She graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Diversified Professionals, Inc. and her current practice location is
14264 Patin Dyke Rd, Ventress, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(225) 618-9102.
Miss Amy Theresa David is licensed to practice in Louisiana (license number AP05690) 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 1205070109.
Provider's Profile
Full Name | Miss Amy Theresa David |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 16 Years |
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Location | 14264 Patin Dyke Rd, Ventress, Louisiana |
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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:
- Miss Amy Theresa David graduated from nursing school in 2008
NPI Data:
- NPI Number: 1205070109
- Provider Enumeration Date: 04/23/2009
- Last Update Date: 04/23/2009
Medicare PECOS Information:
- PECOS PAC ID: 8628124948
- Enrollment ID: I20090928000570
Medical Identifiers
Medical identifiers for Miss Amy Theresa David such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205070109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | AP05690 (Louisiana) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Diversified Professionals, Inc. | 0446356463 | 59 |
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. Miss Amy Theresa David allows following entities to bill medicare on her behalf.
Entity Name | Diversified Professionals, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700923992 PECOS PAC ID: 0446356463 Enrollment ID: O20070507000647 |
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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. Miss Amy Theresa David 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 |
Miss Amy Theresa David, CRNA 14264 Patin Dyke Rd, Ventress, LA 70783-3904 Ph: (225) 618-9102 | Miss Amy Theresa David, CRNA 14264 Patin Dyke Rd, Ventress, LA 70783-3904 Ph: (225) 618-9102 |
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