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

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 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 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
	433 Plaza St, Bogalusa, LA 70427-3729
	(985) 730-6700
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Derek Gavin Davis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	18 Years
Location	433 Plaza St, Bogalusa, Louisiana
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: 05/14/2026

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
367500000X	Nurse Anesthetist, Certified Registered	AP05507 (Louisiana)	Secondary

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 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

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