Jacob A Davis, CRNA in South Hill, VA - Medicare Certified Registered Nurse Anesthetist (crna)

Jacob A Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in South Hill, Virginia. He graduated from nursing school in 2012 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice American Anesthesiology Of Virginia Pc and his current practice location is 1755 N Mecklenburg Ave, South Hill, Virginia. You can reach out to his office (for appointments etc.) via phone at (434) 447-3151.

Jacob A Davis is licensed to practice in Virginia (license number 0024175305) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831436906.

Contact Information

	Jacob A Davis, CRNA
	1755 N Mecklenburg Ave, South Hill, VA 23970-4080
	(434) 447-3151
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacob A Davis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	14 Years
Location	1755 N Mecklenburg Ave, South Hill, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob A Davis graduated from nursing school in 2012

NPI Data:

NPI Number: 1831436906
Provider Enumeration Date: 01/10/2013
Last Update Date: 02/16/2026

Medicare PECOS Information:

PECOS PAC ID: 4981849577
Enrollment ID: I20171205002882

Medical Identifiers

Medical identifiers for Jacob A Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831436906	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN114748 (Louisiana)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	0024175305 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Southside Regional Medical Center	Petersburg, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Anesthesiology Of Virginia Pc	6800790023	428

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. Jacob A Davis allows following entities to bill medicare on his behalf.

Entity Name	Cmh Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171

Entity Name	American Anesthesiology Of Virginia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417994872 PECOS PAC ID: 6800790023 Enrollment ID: O20080812000606

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. Jacob A 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 Address	Practice Location Address
Jacob A Davis, CRNA Po Box 780125, Philadelphia, PA 19178-0125 Ph: (804) 922-4844	Jacob A Davis, CRNA 1755 N Mecklenburg Ave, South Hill, VA 23970-4080 Ph: (434) 447-3151

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in South Hill, VA

Daniel Walbert, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 804-828-2207 Fax: 804-828-8300
Olukunle Oreyemi-rire Olumuyiwa, CRNA (DMPNA), APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-584-2273 Fax: 434-584-5579
Mrs. Pamela Susan Bardwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 125 Buena Vista Circle, Cmh-vcu Health, South Hill, VA 23919 Phone: 434-447-3151
Thomas Watters, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 125 Buena Vista Cir, South Hill, VA 23970 Phone: 952-442-9770
Jessica Nicole Brickers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 804-828-2207 Fax: 804-828-8300
Roger Jacquelin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 125 Buena Vista Cir, South Hill, VA 23970 Phone: 952-442-9770
Mr. Gregory Joseph Myslinski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1755 N Mecklenburg Ave, South Hill, VA 23970 Phone: 434-447-3151

Jacob A Davis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in South Hill, VA