| Mrs Hazel Charlene Davis, CRNA | |
|
435 2nd Street, Newport, TN 37821-3703 | |
| (865) 777-0909 | |
| (865) 777-0910 |
| Full Name | Mrs Hazel Charlene Davis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 26 Years |
| Location | 435 2nd Street, Newport, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154367233 | NPI | - | NPPES |
| 3151319 | Other | TN | BLUECARE |
| 3902431 | Medicaid | TN | |
| 3902437 | Medicaid | TN | |
| 3151319 | Other | TN | BLUE CROSS |
| P00813082 | Other | TN | RAILROAD MEDICARE PIN |
| 100031526 | Other | TN | PHP TENNCARE |
| 4195271 | Other | TN | BLUE CROSS/BLUE SHIELD |
| 430059022 | Other | TN | MEDICARE TRAVELERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 114338 (Tennessee) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 10522 (Tennessee) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Newport Medical Center | Newport, TN | Hospital |
| Tennova Healthcare-jefferson Memorial Hospital | Jefferson city, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifelinc Anesthesia Viii Pllc | 3173984762 | 67 |
| Entity Name | Resource Anesthesia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033162045 PECOS PAC ID: 1254228141 Enrollment ID: O20040304000172 |
| Entity Name | Covenant Anesthesia Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639148117 PECOS PAC ID: 6901795830 Enrollment ID: O20040310001466 |
| Entity Name | Nashville Anesthesia Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225081805 PECOS PAC ID: 1557350501 Enrollment ID: O20040601001098 |
| Entity Name | American Anesthesiology Of Tennessee Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609822998 PECOS PAC ID: 9931001922 Enrollment ID: O20040713001364 |
| Entity Name | Lifelinc Anesthesia Ii, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821397233 PECOS PAC ID: 2668658493 Enrollment ID: O20110512000311 |
| Entity Name | Northeast Tennessee Anesthesia, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437436102 PECOS PAC ID: 2163697996 Enrollment ID: O20111207000018 |
| Entity Name | Tennessee Valley Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053881706 PECOS PAC ID: 1254677222 Enrollment ID: O20190111001324 |
| Entity Name | Cocke County Hma, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104463322 PECOS PAC ID: 4183898562 Enrollment ID: O20200619000776 |
| Entity Name | Anesthesia Dynamics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20200801000026 |
| Entity Name | Apogee Anesthesia Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891453528 PECOS PAC ID: 8729479159 Enrollment ID: O20211220001183 |
| Entity Name | Lifelinc Anesthesia Viii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679265052 PECOS PAC ID: 3173984762 Enrollment ID: O20230728002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Hazel Charlene Davis, CRNA 12752 Kingston Pike, Ste E202, Knoxville, TN 37934-0948 Ph: (865) 777-0909 | Mrs Hazel Charlene Davis, CRNA 435 2nd Street, Newport, TN 37821-3703 Ph: (865) 777-0909 |
Michael Frank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 435 2nd St, Newport, TN 37821 Phone: 423-625-2200 | |
Mr. Michael D Williams, MSN- CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 435 2nd Street, Newport, TN 37821 Phone: 865-777-0909 Fax: 865-777-0910 | |
Mr. David Blair Coston, MSN-CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 432 2nd Street, Newport, TN 37821 Phone: 865-777-0909 Fax: 865-777-0910 |