Angeline Marie Davis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in South Boston, VA

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Angeline Marie Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Boston, Virginia. She went to Medical University Of South Carolina College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Medstream Anesthesia Pllc and her current practice location is 2204 Wilborn Ave, South Boston, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 517-3100.

Angeline Marie Davis is licensed to practice in South Carolina (license number 124554) 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 1871058008.

Contact Information

Angeline Marie Davis, CRNA
2204 Wilborn Ave,
South Boston, VA 24592-1645
(434) 517-3100
Not Available

Map and Direction




Provider's Profile

Full NameAngeline Marie Davis
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location2204 Wilborn Ave, South Boston, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Angeline Marie Davis attended and graduated from Medical University Of South Carolina College Of Medicine in 2018
  NPI Data:
  • NPI Number: 1871058008
  • Provider Enumeration Date: 02/01/2019
  • Last Update Date: 01/23/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7911240817
  • Enrollment ID: I20190516001148

Medical Identifiers

Medical identifiers for Angeline Marie Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871058008NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 124554 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Twin County Regional HospitalGalax, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medstream Anesthesia Pllc7416198049566

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. Angeline Marie Davis allows following entities to bill medicare on her behalf.
Entity NameDominion Health Medical Assoc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255771770
PECOS PAC ID: 1254311558
Enrollment ID: O20041206000840
Entity NameSmg Anesthesia Specialists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518205004
PECOS PAC ID: 6305081118
Enrollment ID: O20130327000494
Entity NameMedstream Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20130724000770

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. Angeline Marie 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
Angeline Marie Davis, CRNA
3340 Shipley St Apt 1404,
Ladson, SC 29456-4173

Ph: (804) 339-5260		Angeline Marie Davis, CRNA
2204 Wilborn Ave,
South Boston, VA 24592-1645

Ph: (434) 517-3100

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in South Boston, VA

Mr. Robert Easter, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Wilborn Ave, South Boston, VA 24592
Phone: 803-370-1644    
Andrew D. Metz, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-3122    Fax: 434-517-3060
Ms. Julie Denise Hughes, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-3100    
Alisyn L. Metz, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2204 Wilborn Ave, South Boston, VA 24592
Phone: 434-517-3122    Fax: 434-517-3060

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.