Miss Laris Olivia Davenport, RN in San Diego, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Miss Laris Olivia Davenport, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in San Diego, California. She graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Regents Of The University Of California and her current practice location is 200 W Arbor Dr, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (800) 926-8273.

Miss Laris Olivia Davenport is licensed to practice in California (license number NA95002421) 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 1922699685.

Contact Information

	Miss Laris Olivia Davenport, RN
	200 W Arbor Dr, San Diego, CA 92103-9000
	(800) 926-8273
	(888) 539-8781

Map and Direction

Provider's Profile

Full Name	Miss Laris Olivia Davenport
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	2 Years
Location	200 W Arbor Dr, San Diego, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Miss Laris Olivia Davenport graduated from nursing school in 2023

NPI Data:

NPI Number: 1922699685
Provider Enumeration Date: 01/26/2021
Last Update Date: 08/27/2024

Medicare PECOS Information:

PECOS PAC ID: 1254872492
Enrollment ID: I20240924002440

Medical Identifiers

Medical identifiers for Miss Laris Olivia Davenport such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922699685	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	710866 (Pennsylvania)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	147782 (Pennsylvania)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	NA95002421 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Uc San Diego Health Hillcrest - Hillcrest Med Ctr	San diego, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Regents Of The University Of California	3577476761	1890

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. Miss Laris Olivia Davenport allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265535702 PECOS PAC ID: 3577476761 Enrollment ID: O20040102000635

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. Miss Laris Olivia Davenport 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
Miss Laris Olivia Davenport, RN File 57326, Los Angeles, CA 90074-7326 Ph: (858) 249-6748	Miss Laris Olivia Davenport, RN 200 W Arbor Dr, San Diego, CA 92103-9000 Ph: (800) 926-8273

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in San Diego, CA

Ms. Elisabeth Noel Walker, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 200 W Arbor Dr Mc 8201, Ucsd Medical Center, San Diego, CA 92103 Phone: 619-543-5720 Fax: 619-543-3183
Ardis L Taschner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4647 Zion Ave, San Diego, CA 92120 Phone: 619-528-5000
Lena Grace Stephens, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8943
Heidemarie Dreger, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4405 Vandever Ave, San Diego, CA 92120 Phone: 619-528-5000
Mr. Jason Wyatt Cole, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273
Mrs. Maryanne Elizabeth Baumgartner, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8960
Mr. Ryan L Nations, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781

Miss Laris Olivia Davenport, RN - Medicare Certified Registered Nurse Anesthetist (crna) in San Diego, CA