Theresa Ann Davis, CRNA - Medicare Nurse Anesthetist, Certified Registered in Jackson, MS

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Theresa Ann Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-1000.

Theresa Ann Davis is licensed to practice in Mississippi (license number R874019) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013213693.

Contact Information

Theresa Ann Davis, CRNA
2500 N State St,
Jackson, MS 39216-4500
(601) 984-1000
Not Available

Map and Direction




Provider's Profile

Full NameTheresa Ann Davis
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013213693
  • Provider Enumeration Date: 01/31/2011
  • Last Update Date: 07/30/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 5294918629
  • Enrollment ID: I20110323000268

Medical Identifiers

Medical identifiers for Theresa Ann Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013213693NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R874019 (Mississippi)Primary

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. Theresa Ann Davis allows following entities to bill medicare on her behalf.
Entity NameLakeland Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053358937
PECOS PAC ID: 0941102719
Enrollment ID: O20040122000612
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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. Theresa Ann Davis 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 AddressPractice Location Address
Theresa Ann Davis, CRNA
113 Timber Drive,
Madison, MS 39110

Ph: (601) 270-7770		Theresa Ann Davis, CRNA
2500 N State St,
Jackson, MS 39216-4500

Ph: (601) 984-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Jackson, MS

Emily Sumrall Childress, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Austin Grant Conn, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Mollie Harrell,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Pfs, Jackson, MS 39216
Phone: 601-984-4619    
John Tyler Mclendon,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1850 Chadwick Dr, Jackson, MS 39204
Phone: 601-376-1000    
James Walter Ishee, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-1000    
Zachary Halliwell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 969 Lakeland Dr, Jackson, MS 39216
Phone: 601-200-2000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.