Mrs Hazel Charlene Davis, CRNA | |
435 2nd Street, Newport, TN 37821-3703 | |
(865) 777-0909 | |
(865) 777-0910 |
Full Name | Mrs Hazel Charlene Davis |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 24 Years |
Location | 435 2nd Street, Newport, Tennessee |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154367233 | NPI | - | NPPES |
3151319 | Other | TN | BLUECARE |
3902431 | Medicaid | TN | |
3902437 | Medicaid | TN | |
3151319 | Other | TN | BLUE CROSS |
P00813082 | Other | TN | RAILROAD MEDICARE PIN |
100031526 | Other | TN | PHP TENNCARE |
4195271 | Other | TN | BLUE CROSS/BLUE SHIELD |
430059022 | Other | TN | MEDICARE TRAVELERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 114338 (Tennessee) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 10522 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Newport Medical Center | Newport, TN | Hospital |
Tennova Healthcare-jefferson Memorial Hospital | Jefferson city, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lifelinc Anesthesia Viii Pllc | 3173984762 | 22 |
Entity Name | Resource Anesthesia, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033162045 PECOS PAC ID: 1254228141 Enrollment ID: O20040304000172 |
Entity Name | Nashville Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225081805 PECOS PAC ID: 1557350501 Enrollment ID: O20040601001098 |
Entity Name | Merit Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366624967 PECOS PAC ID: 6103901061 Enrollment ID: O20080317000558 |
Entity Name | Lifelinc Anesthesia Ii, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
Entity Name | Northeast Tennessee Anesthesia, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437436102 PECOS PAC ID: 2163697996 Enrollment ID: O20111207000018 |
Entity Name | Tennessee Valley Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053881706 PECOS PAC ID: 1254677222 Enrollment ID: O20190111001324 |
Entity Name | Cocke County Hma, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104463322 PECOS PAC ID: 4183898562 Enrollment ID: O20200619000776 |
Entity Name | Anesthesia Dynamics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200801000026 |
Entity Name | Apogee Anesthesia Consultants Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891453528 PECOS PAC ID: 8729479159 Enrollment ID: O20211220001183 |
Entity Name | Lifelinc Anesthesia Viii Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679265052 PECOS PAC ID: 3173984762 Enrollment ID: O20230728002666 |
Mailing Address | Practice Location Address |
---|---|
Mrs Hazel Charlene Davis, CRNA 12752 Kingston Pike, Ste E202, Knoxville, TN 37934-0948 Ph: (865) 777-0909 | Mrs Hazel Charlene Davis, CRNA 435 2nd Street, Newport, TN 37821-3703 Ph: (865) 777-0909 |
Mr. Michael D Williams, MSN- CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 435 2nd Street, Newport, TN 37821 Phone: 865-777-0909 Fax: 865-777-0910 | |
Mr. David Blair Coston, MSN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 432 2nd Street, Newport, TN 37821 Phone: 865-777-0909 Fax: 865-777-0910 |