Mr Derek Gavin Davis, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Mccomb, MS

Mr Derek Gavin Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Mccomb, Mississippi. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Our Lady Of The Angels Hospital Inc and his current practice location is 215 Marion Ave, Mccomb, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 249-5500.

Mr Derek Gavin Davis is licensed to practice in Mississippi (license number R873427) 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 1952563041.

Contact Information

Mr Derek Gavin Davis, CRNA
215 Marion Ave,
Mccomb, MS 39648-2705
(601) 249-5500
Not Available



Provider's Profile

Full NameMr Derek Gavin Davis
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience16 Years
Location215 Marion Ave, Mccomb, Mississippi
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:
  • Mr Derek Gavin Davis graduated from nursing school in 2008
  NPI Data:
  • NPI Number: 1952563041
  • Provider Enumeration Date: 06/30/2008
  • Last Update Date: 06/30/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 2062586258
  • Enrollment ID: I20151107000143

Medical Identifiers

Medical identifiers for Mr Derek Gavin Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952563041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R873427 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Our Lady Of The Angels HospitalBogalusa, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Our Lady Of The Angels Hospital Inc701214432269

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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. Mr Derek Gavin Davis allows following entities to bill medicare on his behalf.
Entity NameYoungs Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922178599
PECOS PAC ID: 2163524992
Enrollment ID: O20070226000608

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Entity NameOur Lady Of The Angels Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912334533
PECOS PAC ID: 7012144322
Enrollment ID: O20140602000869

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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. Mr Derek Gavin 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 AddressPractice Location Address
Mr Derek Gavin Davis, CRNA
215 Marion Ave,
Mccomb, MS 39648-2705

Ph: (601) 249-5500
Mr Derek Gavin Davis, CRNA
215 Marion Ave,
Mccomb, MS 39648-2705

Ph: (601) 249-5500

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Nurse Anesthetist, Certified Registered Nurses in Mccomb, MS

Mr. Jason Todd Lane, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-5500    Fax: 601-249-1709
Mr. Hugh Russell Fortenberry Jr., CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-5500    Fax: 601-249-1709
Mr. George Rayford Smith Ii, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Dr., Mccomb, MS 39648
Phone: 601-249-5500    
Rachel Spiers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-1183    
Irby Lee Campbell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-1183    Fax: 601-249-1709
Mrs. Sarah Dart Andrews, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-5500    Fax: 601-249-1709
Anesha Handshaw, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 215 Marion Ave, Mccomb, MS 39648
Phone: 601-249-5500    

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