Ms Randi Terry Davis, CRNA in Livingston, NJ - Medicare Certified Registered Nurse Anesthetist (crna)

Ms Randi Terry Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Livingston, New Jersey. She graduated from nursing school in 1987 and has 38 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Northstar Anesthesia Of Illinois, Llc and her current practice location is 200 S Orange Ave, Livingston, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 577-4056.

Ms Randi Terry Davis is licensed to practice in New Jersey (license number 26NJ00306400) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295815892.

Contact Information

	Ms Randi Terry Davis, CRNA
	200 S Orange Ave, Livingston, NJ 07039-5817
	(973) 577-4056
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Randi Terry Davis
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	38 Years
Location	200 S Orange Ave, Livingston, New Jersey
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Randi Terry Davis graduated from nursing school in 1987

NPI Data:

NPI Number: 1295815892
Provider Enumeration Date: 10/17/2006
Last Update Date: 10/17/2024

Medicare PECOS Information:

PECOS PAC ID: 7113011123
Enrollment ID: I20230519000728

Medical Identifiers

Medical identifiers for Ms Randi Terry Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295815892	NPI	-	NPPES
4308759910	Other	MI	BCBS INDIVIDUAL PIN
4308712580	Other	MI	BCBS - MICHIGAN
4381587	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	4704197826 (Michigan)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	306445 (New York)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	26NJ00306400 (New Jersey)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Bolingbrook Hospital	Bolingbrook, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northstar Anesthesia Of Illinois, Llc	4688893878	318

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. Ms Randi Terry Davis allows following entities to bill medicare on her behalf.

Entity Name	Associated Anesthesiologists Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558306480 PECOS PAC ID: 6305744129 Enrollment ID: O20031230000544

Entity Name	Northstar Anesthesia Of Illinois, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962822395 PECOS PAC ID: 4688893878 Enrollment ID: O20140922000405

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. Ms Randi Terry 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
Ms Randi Terry Davis, CRNA 339 Consort Dr, Ballwin, MO 63011-4439 Ph: (636) 386-9224	Ms Randi Terry Davis, CRNA 200 S Orange Ave, Livingston, NJ 07039-5817 Ph: (973) 577-4056

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Livingston, NJ

Andres Felipe Sepulveda, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000
Christina M Starker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000 Fax: 973-660-9779
Boris G Kouanang, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039 Phone: 973-322-5000
Cori Kutzin, APN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000
Nguyen Thanh Bui, DNP, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 94 Old Short Hills Rd, Livingston, NJ 07039 Phone: 973-322-5000
John A Coughlan, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 200 S Orange Ave, Livingston, NJ 07039 Phone: 973-577-4056

Ms Randi Terry Davis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Livingston, NJ