Stephanie Davis, | |
11 Bonita Dr, Ponte Vedra Beach, FL 32082-2008 | |
(443) 955-4917 | |
Not Available |
Full Name | Stephanie Davis |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 11 Bonita Dr, Ponte Vedra Beach, Florida |
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 |
---|---|---|---|
1336504372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 9359074 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sunshine State Anesthesia Partners Llc | 8123434792 | 365 |
Northern Florida Anesthesia Services Pllc | 8527312800 | 12 |
Entity Name | Northern Florida Anesthesia Services Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033691050 PECOS PAC ID: 8527312800 Enrollment ID: O20181127000732 |
Entity Name | Sunshine State Anesthesia Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Davis, 1238 Frederica Pl, Jacksonville, FL 32205-7604 Ph: () - | Stephanie Davis, 11 Bonita Dr, Ponte Vedra Beach, FL 32082-2008 Ph: (443) 955-4917 |
Michael A. Horne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 352 Clearwater Dr, Ponte Vedra Beach, FL 32082 Phone: 904-403-1667 Fax: 904-280-0051 | |
Shelly Ann Foltz, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 418 Royal Tern Rd S, Ponte Vedra Beach, FL 32082 Phone: 904-501-8985 |