Mr Derek Gavin Davis, CRNA in Mccomb, MS - Medicare Certified Registered Nurse Anesthetist (crna)

Mr Derek Gavin Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mccomb, Mississippi. He graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Our Lady Of The Angels Hospital Inc and his current practice location is 215 Marion Ave, Mccomb, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 249-5500.

Mr Derek Gavin Davis is licensed to practice in Mississippi (license number R873427) 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 1952563041.

Contact Information

	Mr Derek Gavin Davis, CRNA
	215 Marion Ave, Mccomb, MS 39648-2705
	(601) 249-5500
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Derek Gavin Davis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	17 Years
Location	215 Marion Ave, Mccomb, Mississippi
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:

Mr Derek Gavin Davis graduated from nursing school in 2008

NPI Data:

NPI Number: 1952563041
Provider Enumeration Date: 06/30/2008
Last Update Date: 06/30/2008

Medicare PECOS Information:

PECOS PAC ID: 2062586258
Enrollment ID: I20151107000143

Medical Identifiers

Medical identifiers for Mr Derek Gavin Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952563041	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R873427 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Our Lady Of The Angels Hospital	Bogalusa, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Our Lady Of The Angels Hospital Inc	7012144322	74

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. Mr Derek Gavin Davis allows following entities to bill medicare on his behalf.

Entity Name	Riverside Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982767166 PECOS PAC ID: 3173430196 Enrollment ID: O20040407000623

Entity Name	Youngs Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922178599 PECOS PAC ID: 2163524992 Enrollment ID: O20070226000608

Entity Name	Our Lady Of The Angels Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869

Entity Name	Riverside Medical Center
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1700874062 PECOS PAC ID: 3173430196 Enrollment ID: O20151230002124

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. Mr Derek Gavin 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
Mr Derek Gavin Davis, CRNA 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500	Mr Derek Gavin Davis, CRNA 215 Marion Ave, Mccomb, MS 39648-2705 Ph: (601) 249-5500

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Mccomb, MS

Mr. Jason Todd Lane, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709
Mr. Hugh Russell Fortenberry Jr., CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709
Mr. George Rayford Smith Ii, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Dr., Mccomb, MS 39648 Phone: 601-249-5500
Rachel Spiers, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1183
Irby Lee Campbell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-1183 Fax: 601-249-1709
Mrs. Sarah Dart Andrews, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1709
Anesha Handshaw, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 215 Marion Ave, Mccomb, MS 39648 Phone: 601-249-5500

Mr Derek Gavin Davis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mccomb, MS