| Jeremiah Davidson, | |
|
1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 | |
| (610) 402-8000 | |
| Not Available |
| Full Name | Jeremiah Davidson |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 5 Years |
| Location | 1200 S Cedar Crest Blvd, Allentown, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134799653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN646059 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lehigh Valley Hospital | Allentown, PA | Hospital |
| St Luke's Hospital Bethlehem | Bethlehem, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Professional Anesthesia Services Of North America Pc | 1658698824 | 49 |
| Lehigh Valley Physician Group | 3072425123 | 2512 |
| Entity Name | Lehigh Valley Anesthesia Services, P. C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730174731 PECOS PAC ID: 8820992183 Enrollment ID: O20031120000076 |
| Entity Name | Lehigh Valley Physician Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780155689 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
| Entity Name | Grandview Anesthesia Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235135500 PECOS PAC ID: 8729978259 Enrollment ID: O20040318000578 |
| Entity Name | Professional Anesthesia Services of North America PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972994820 PECOS PAC ID: 1658698824 Enrollment ID: O20150327000075 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremiah Davidson, 2630 Elm Hill Pike Ste 350, Nashville, TN 37214-3176 Ph: Not Available | Jeremiah Davidson, 1200 S Cedar Crest Blvd, Allentown, PA 18103-6202 Ph: (610) 402-8000 |
Ms. Christine Bauer, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1925 W Turner St, Allentown, PA 18104 Phone: 908-752-9685 |
Jennifer Lynn Rodriguez, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3547 Catherine Ave, Allentown, PA 18103 Phone: 610-310-0456 |
Patricia Seiger, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 129 S Dauphin St, Allentown, PA 18109 Phone: 484-765-5885 |
Rodman Moore Jr., Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4949 Liberty Ln Ste 210, Allentown, PA 18106 Phone: 610-966-2676 |
Sodiq O. Anifowoshe, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 100 College Dr, Allentown, PA 18104 Phone: 800-360-1222 |
Jennifer Seale, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1411 Union Blvd, Allentown, PA 18109 Phone: 610-433-6181 |
Natalie Lewis, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1724 Valley Forge Rd, Allentown, PA 18104 Phone: 976-964-4021 |