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

  1. Home
  2. Nurse Anesthetist - CR
  3. LA
  4. Bogalusa
Mr Derek Gavin Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Bogalusa, Louisiana. He graduated from nursing school in 2008 and has 18 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Clinical Colleagues Inc, Australia Anesthesia Management Llc, Our Lady Of The Angels Hospital Inc and his current practice location is 433 Plaza St, Bogalusa, Louisiana. You can reach out to his office (for appointments etc.) via phone at (985) 730-6700.

Mr Derek Gavin Davis is licensed to practice in Mississippi (license number R873427) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1952563041.

Contact Information

Mr Derek Gavin Davis, CRNA
433 Plaza St,
Bogalusa, LA 70427-3729
(985) 730-6700
Not Available

Map and Direction




Provider's Profile

Full NameMr Derek Gavin Davis
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience18 Years
Location433 Plaza St, Bogalusa, Louisiana
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for 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: 05/14/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2062586258
  • Enrollment ID: I20260326001412

Medical Identifiers

Medical identifiers for Mr Derek Gavin Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952563041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R873427 (Mississippi)Primary
367500000XNurse Anesthetist, Certified Registered AP05507 (Louisiana)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fmol Health Our Lady Of The AngelsBogalusa, LAHospital
Goshen HospitalGoshen, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Clinical Colleagues Inc8729011333170
Australia Anesthesia Management Llc943667186458
Our Lady Of The Angels Hospital Inc701214432278

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 NameCameron Memorial Community Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770521478
PECOS PAC ID: 9234020835
Enrollment ID: O20040323001008
Entity NameClinical Colleagues Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992725766
PECOS PAC ID: 8729011333
Enrollment ID: O20181101000420
Entity NameIceland Anesthesia Management LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912578667
PECOS PAC ID: 7618372996
Enrollment ID: O20210825000860
Entity NameAustralia Anesthesia Management LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700601903
PECOS PAC ID: 9436671864
Enrollment ID: O20250314002290

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 AddressPractice Location Address
Mr Derek Gavin Davis, CRNA
433 Plaza St,
Bogalusa, LA 70427-3729

Ph: (985) 730-6700		Mr Derek Gavin Davis, CRNA
433 Plaza St,
Bogalusa, LA 70427-3729

Ph: (985) 730-6700

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Bogalusa, LA

Kaleb M. Killens, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6700    Fax: 985-730-6713
Henry Y Au, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa Medical Center, Bogalusa, LA 70427
Phone: 504-813-1539    
Rodrigo A Lopez,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6700    Fax: 985-730-6713
Brian Douglas Smith, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6700    Fax: 985-730-6713
Darryl G. Hughes, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6705    Fax: 985-730-7183
Mr. Matthew Lamar Lyle, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6700    Fax: 985-730-6713
Damon Fortenberry, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 433 Plaza St, Bogalusa, LA 70427
Phone: 985-730-6700    Fax: 985-730-6713

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.