Davy J Desoto, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Metairie, LA

Davy J Desoto, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Metairie, Louisiana. He graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Ams Baptist Llc, Ams Of Gulf Breeze Llc and his current practice location is 3510 N Causeway Blvd Ste 404, Metairie, Louisiana. You can reach out to his office (for appointments etc.) via phone at (504) 779-5515.

Davy J Desoto is licensed to practice in Louisiana (license number AP06431) 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 1124317920.

Contact Information

Davy J Desoto, CRNA
3510 N Causeway Blvd Ste 404,
Metairie, LA 70002-3531
(504) 779-5515
Not Available



Provider's Profile

Full NameDavy J Desoto
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience14 Years
Location3510 N Causeway Blvd Ste 404, Metairie, Louisiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Davy J Desoto graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1124317920
  • Provider Enumeration Date: 04/01/2011
  • Last Update Date: 08/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6204012164
  • Enrollment ID: I20220906000835

Medical Identifiers

Medical identifiers for Davy J Desoto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124317920NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered AP06431 (Louisiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist HospitalPensacola, FLHospital
Gulf Breeze HospitalGulf breeze, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ams Baptist Llc690109968858
Ams Of Gulf Breeze Llc953732666537

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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. Davy J Desoto allows following entities to bill medicare on his behalf.
Entity NameAms Baptist Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093020216
PECOS PAC ID: 6901099688
Enrollment ID: O20101026001236

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Entity NameAms Of Gulf Breeze Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376812032
PECOS PAC ID: 9537326665
Enrollment ID: O20120201000611

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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. Davy J Desoto 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 AddressPractice Location Address
Davy J Desoto, CRNA
255 W Michigan Ave,
Jackson, MI 49201-2218

Ph: (800) 242-1131
Davy J Desoto, CRNA
3510 N Causeway Blvd Ste 404,
Metairie, LA 70002-3531

Ph: (504) 779-5515

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Nurse Anesthetist, Certified Registered Nurses in Metairie, LA

Kristi F Simon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002
Phone: 504-779-5515    
Brian F. Brown, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002
Phone: 504-779-5515    Fax: 504-779-5568
Dominick Diecidue, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002
Phone: 504-779-5515    Fax: 504-779-5568
Brandon C. Brown, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002
Phone: 504-779-5515    Fax: 504-779-5568
Joellyn Mary Grass, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3510 N Causeway Blvd, Metairie, LA 70002
Phone: 504-779-5515    
Steve Gonzales, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3510 N Causeway Blvd, Metairie, LA 70002
Phone: 504-779-5568    
Ronald E. Bankert, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3510 N Causeway Blvd, Suite 404, Metairie, LA 70002
Phone: 504-779-5515    

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