| Stephanie Davis, | |
|
11 Bonita Dr, Ponte Vedra Beach, FL 32082-2008 | |
| (443) 955-4917 | |
| Not Available |
| Full Name | Stephanie Davis |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 10 Years |
| Location | 11 Bonita Dr, Ponte Vedra Beach, Florida |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336504372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 9359074 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sunshine State Anesthesia Partners Llc | 8123434792 | 426 |
| Northern Florida Anesthesia Services Pllc | 8527312800 | 15 |
| Entity Name | Northern Florida Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033691050 PECOS PAC ID: 8527312800 Enrollment ID: O20181127000732 |
| Entity Name | Sunshine State Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437757127 PECOS PAC ID: 8123434792 Enrollment ID: O20210305000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Davis, 1238 Frederica Pl, Jacksonville, FL 32205-7604 Ph: () - | Stephanie Davis, 11 Bonita Dr, Ponte Vedra Beach, FL 32082-2008 Ph: (443) 955-4917 |
Michael A. Horne, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 352 Clearwater Dr, Ponte Vedra Beach, FL 32082 Phone: 904-403-1667 Fax: 904-280-0051 | |
Shelly Ann Foltz, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 418 Royal Tern Rd S, Ponte Vedra Beach, FL 32082 Phone: 904-501-8985 |