| Ms Randi Terry Davis, CRNA | |
|
736 Irving Ave, Syracuse, NY 13210-1602 | |
| (315) 470-7111 | |
| Not Available |
| Full Name | Ms Randi Terry Davis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 39 Years |
| Location | 736 Irving Ave, Syracuse, New York |
| 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 |
|---|---|---|---|
| 1295815892 | NPI | - | NPPES |
| 4308759910 | Other | MI | BCBS INDIVIDUAL PIN |
| 4308712580 | Other | MI | BCBS - MICHIGAN |
| 4381587 | Medicaid | MI |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Bolingbrook Hospital | Bolingbrook, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northstar Anesthesia Of Illinois, Llc | 4688893878 | 318 |
| 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 |
| 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 736 Irving Ave, Syracuse, NY 13210-1602 Ph: (315) 470-7111 |
Alwin Heuer, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5801 E Taft Rd, Syracuse, NY 13212 Phone: 315-418-4140 | |
Robert A Worden, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-492-5522 | |
Kristen Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 736 Irving Ave, Syracuse, NY 13210 Phone: 315-470-8705 | |
Ms. Christina Marie Arpin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5801 E Taft Rd, Syracuse, NY 13212 Phone: 315-418-4140 | |
Marc Therrien, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 102 Russet Ln, Syracuse, NY 13209 Phone: 315-263-0526 | |
Michael Joseph Hoskin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 301 Prospect Ave, Syracuse, NY 13203 Phone: 315-299-5451 Fax: 315-299-4710 | |
John F Murphy, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 4900 Broad Rd, Syracuse, NY 13215 Phone: 315-470-7828 Fax: 315-470-5811 |