| Jaime I Davenport, CRNA | |
|
1 Trillium Way, Corbin, KY 40701-8727 | |
| (606) 528-1212 | |
| Not Available |
| Full Name | Jaime I Davenport |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 1 Trillium Way, Corbin, Kentucky |
| 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 |
|---|---|---|---|
| 1437515988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 700495 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anesthesia Associates Of Coeur D Alene Pllc | 2365427838 | 49 |
| Entity Name | Anesthesia Associates Of Coeur D Alene Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962440966 PECOS PAC ID: 2365427838 Enrollment ID: O20040621000475 |
| Mailing Address | Practice Location Address |
|---|---|
| Jaime I Davenport, CRNA 425 Lewis Hargett Cir, Lexington, KY 40503-3590 Ph: (859) 268-1030 | Jaime I Davenport, CRNA 1 Trillium Way, Corbin, KY 40701-8727 Ph: (606) 528-1212 |
Benjamin C Foster, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Corissa L. Stovall, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Edward M Hoffner, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2 Trillium Way Ste 205, Corbin, KY 40701 Phone: 606-523-2140 Fax: 606-523-2547 | |
Jeffrey L Cunningham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 275 Highway 770, Corbin, KY 40701 Phone: 606-526-7874 | |
Lisa K Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Trillium Way, Corbin, KY 40701 Phone: 606-528-1212 | |
Mrs. Iris A Horton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 275 Hwy 770, Corbin, KY 40701 Phone: 865-777-0909 Fax: 865-777-0910 |