Mr M Jason Randal Davis, CRNA - Medicare Nurse Anesthetist, Certified Registered in Mobile, AL

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Mr M Jason Randal Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mobile, Alabama. His current practice location is 2451 Fillingim St, Mobile, Alabama. You can reach out to his office (for appointments etc.) via phone at (251) 471-7045.

Mr M Jason Randal Davis is licensed to practice in Alabama (license number 1-100347) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164793584.

Contact Information

Mr M Jason Randal Davis, CRNA
2451 Fillingim St,
Mobile, AL 36617-2238
(251) 471-7045
(251) 471-7042

Map and Direction




Provider's Profile

Full NameMr M Jason Randal Davis
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location2451 Fillingim St, Mobile, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164793584
  • Provider Enumeration Date: 01/17/2012
  • Last Update Date: 01/17/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 3678731171
  • Enrollment ID: I20120229000448

Medical Identifiers

Medical identifiers for Mr M Jason Randal Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164793584NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 1-100347 (Alabama)Primary

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 M Jason Randal Davis allows following entities to bill medicare on his behalf.
Entity NameUniversity Of South Alabama
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992746838
PECOS PAC ID: 3072425149
Enrollment ID: O20040115000773
Entity NameProvidence Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952390643
PECOS PAC ID: 9830111871
Enrollment ID: O20051219000880
Entity NamePhysynergy Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134465560
PECOS PAC ID: 6204081292
Enrollment ID: O20130222000456
Entity NameBlue Lake Health Springhill Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194496216
PECOS PAC ID: 2365830007
Enrollment ID: O20211028001840

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 M Jason Randal 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 M Jason Randal Davis, CRNA
9631 Cheyney Ct,
Mobile, AL 36695-7453

Ph: (251) 404-7127		Mr M Jason Randal Davis, CRNA
2451 Fillingim St,
Mobile, AL 36617-2238

Ph: (251) 471-7045

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Mobile, AL

Johnathan E Bruns, CRNA
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Phone: 251-432-4497    Fax: 251-432-0577
Mrs. Lisa M Mckinley, CRNA
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Practice Location: 6701 Airport Blvd, Suite 430, Mobile, AL 36608
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Ted W Holmes, CRNA
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Practice Location: 3719 Dauphin St, Springhill Medical Center Anesthesia Dept, Mobile, AL 36608
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Lindsey Lovorn Diehl, DNP
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Richard Williams, CRNA
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Phone: 205-848-2925    Fax: 334-377-4417
Jennifer D Thomas, CRNA
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Practice Location: 5 Mobile Infirmary Cir, Mobile, AL 36607
Phone: 251-432-4497    Fax: 251-432-0577
John Adam Self, CRNA
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Practice Location: 2451 Fillingim St, Room 335, Mobile, AL 36617
Phone: 251-471-7045    

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.