Mrs Leesa Davis, CRNA | |
1638 Owen Dr, Fayetteville, NC 28304-3424 | |
(910) 609-6440 | |
(910) 609-5365 |
Full Name | Mrs Leesa Davis |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 1638 Owen Dr, Fayetteville, North Carolina |
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 |
---|---|---|---|
1013916956 | NPI | - | NPPES |
8057549 | Medicaid | NC | |
D3602 | Other | NC | MEDCOST |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 142777 (North Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cape Fear Valley Medical Center | Fayetteville, NC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cumberland County Hospital System Inc | 1850204041 | 469 |
Entity Name | Cumberland County Hospital System Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
Entity Name | Carolina Anesthesia Associates Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699723791 PECOS PAC ID: 1456251057 Enrollment ID: O20040115000938 |
Entity Name | Fayetteville Anesthesia, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144362864 PECOS PAC ID: 0941281158 Enrollment ID: O20040525000891 |
Entity Name | Carolina Regional Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891072609 PECOS PAC ID: 5496921769 Enrollment ID: O20120109000406 |
Mailing Address | Practice Location Address |
---|---|
Mrs Leesa Davis, CRNA Po Box 40908, Fayetteville, NC 28309-0908 Ph: (910) 609-6440 | Mrs Leesa Davis, CRNA 1638 Owen Dr, Fayetteville, NC 28304-3424 Ph: (910) 609-6440 |
Mrs. Miriah Catherine Adams, RN Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 | |
Dr. Jonathan Ray Hall, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2053 Valleygate Dr Ste 102, Fayetteville, NC 28304 Phone: 910-323-3757 | |
Edelrose Fortea Bacanto, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 805-509-7556 | |
Madison Brooke Reid, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 330-360-9528 | |
Miss Jennifer Shattuck, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-609-6440 Fax: 910-609-5365 | |
Jennifer Myles, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1638 Owen Dr, Fayetteville, NC 28304 Phone: 910-615-5132 Fax: 910-321-6236 |