Tamara Davila, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Clarkston, Michigan. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Superior Anesthetists Associates Inc and her current practice location is
6628 College Park, Clarkston, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 563-6323.
Tamara Davila is licensed to practice in Michigan (license number 4704248191) 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 1760628713.
Provider's Profile
| Full Name | Tamara Davila |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 19 Years |
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| Location | 6628 College Park, Clarkston, Michigan |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tamara Davila graduated from nursing school in 2005
NPI Data:
- NPI Number: 1760628713
- Provider Enumeration Date: 12/22/2008
- Last Update Date: 07/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 2163576299
- Enrollment ID: I20090824000566
Medical Identifiers
Medical identifiers for Tamara Davila such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760628713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 4704248191 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Superior Anesthetists Associates Inc | 5890784987 | 61 |
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. Tamara Davila allows following entities to bill medicare on her behalf.
| Entity Name | Ascension St John Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598896995
PECOS PAC ID: 3173424082
Enrollment ID: O20040130000407 |
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| Entity Name | Superior Anesthetists Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831144518
PECOS PAC ID: 5890784987
Enrollment ID: O20040512000785 |
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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. Tamara Davila 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 Address | Practice Location Address |
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Tamara Davila, CRNA
6628 College Park,
Clarkston, MI 48346-1065
Ph: (248) 563-6323 | Tamara Davila, CRNA
6628 College Park,
Clarkston, MI 48346-1065
Ph: (248) 563-6323 |
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