Scott A Davis, CRNA in Kingsport, TN - Medicare Certified Registered Nurse Anesthetist (crna)

Scott A Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Kingsport, Tennessee. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice American Anesthesiology Of Tennessee Pc and his current practice location is 130 W Ravine Rd, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at (423) 224-4000.

Scott A Davis is licensed to practice in Tennessee (license number 10774) 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 1083609200.

Contact Information

	Scott A Davis, CRNA
	130 W Ravine Rd, Kingsport, TN 37660-3837
	(423) 224-4000
	(423) 224-4746

Map and Direction

Provider's Profile

Full Name	Scott A Davis
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	20 Years
Location	130 W Ravine Rd, Kingsport, Tennessee
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:

Scott A Davis graduated from nursing school in 2004

NPI Data:

NPI Number: 1083609200
Provider Enumeration Date: 09/14/2005
Last Update Date: 05/08/2014

Medicare PECOS Information:

PECOS PAC ID: 2365493046
Enrollment ID: I20050210000261

Medical Identifiers

Medical identifiers for Scott A Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083609200	NPI	-	NPPES
100047850	Medicaid	TN
4101127	Other	TN	BLUE SHIELD
74009465	Medicaid	KY
00013859	Other		NHC CARE ADMINISTRATORS
010137276	Medicaid	VA
175337	Other		ANTHEM BCBS
TN0100	Other		JOHN DEERE
3634345	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	10774 (Tennessee)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indian Path Community Hospital	Kingsport, TN	Hospital
Wellmont Holston Valley Medical Center	Kingsport, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
American Anesthesiology Of Tennessee Pc	9931001922	382

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. Scott A Davis allows following entities to bill medicare on his behalf.

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	Paragon Anesthesia Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538174974 PECOS PAC ID: 8921044744 Enrollment ID: O20090402000626

Entity Name	Wellmont Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780986257 PECOS PAC ID: 8123291739 Enrollment ID: O20111026000909

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. Scott A 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
Scott A Davis, CRNA 105 W Stone Dr, Suite 6a, Kingsport, TN 37660-3365 Ph: (423) 408-7220	Scott A Davis, CRNA 130 W Ravine Rd, Kingsport, TN 37660-3837 Ph: (423) 224-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Kingsport, TN

Mrs. Stacey Ann Ryder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-4000
Jeffry M Holweger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2121
Geena Sollecito, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 10415 Wallace Alley St, Kingsport, TN 37663 Phone: 423-390-0451
Jeri L Holweger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4128 Fort Henry Dr # D-226, Kingsport, TN 37663 Phone: 423-426-2122
Mrs. Katherine A Miller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7144
Bethany Kossick Seale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 130 W Ravine Rd, Kingsport, TN 37660 Phone: 423-224-5711
Sandra J White, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2000 Brookside Dr, Kingsport, TN 37660 Phone: 423-857-7000

Scott A Davis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Kingsport, TN