Theresa Ann Davis, CRNA in Jackson, MS - Medicare Nurse Anesthetist, Certified Registered

Theresa Ann Davis, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jackson, Mississippi. Her current practice location is 2500 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 984-1000.

Theresa Ann Davis is licensed to practice in Mississippi (license number R874019) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013213693.

Contact Information

	Theresa Ann Davis, CRNA
	2500 N State St, Jackson, MS 39216-4500
	(601) 984-1000
	Not Available

Provider's Profile

Full Name	Theresa Ann Davis
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	2500 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013213693
Provider Enumeration Date: 01/31/2011
Last Update Date: 07/30/2015

Medicare PECOS Information:

PECOS PAC ID: 5294918629
Enrollment ID: I20110323000268

Medical Identifiers

Medical identifiers for Theresa Ann Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013213693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R874019 (Mississippi)	Primary

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. Theresa Ann Davis allows following entities to bill medicare on her behalf.

Entity Name	Lakeland Anesthesia, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053358937 PECOS PAC ID: 0941102719 Enrollment ID: O20040122000612

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Entity Name	State Of Mississippi - University Of Mississippi Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154317527 PECOS PAC ID: 1850293036 Enrollment ID: O20090414000575

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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. Theresa Ann 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
Theresa Ann Davis, CRNA 113 Timber Drive, Madison, MS 39110 Ph: (601) 270-7770	Theresa Ann Davis, CRNA 2500 N State St, Jackson, MS 39216-4500 Ph: (601) 984-1000

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Collaborative approach may speed discovery of new preventive treatments for Alzheimer's disease

Updates from Pacific Biosciences to its commercial strategy and progress

Evidence strongly supports diuretics as initial metabolic syndrome therapy, especially in black patients

Proposed settlement does not cover underpaying professional provider claims: Federal court

Nurse Anesthetist, Certified Registered Nurses in Jackson, MS

Emily Sumrall Childress, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Austin Grant Conn, DNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Mollie Harrell, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Pfs, Jackson, MS 39216 Phone: 601-984-4619
John Tyler Mclendon, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-376-1000
James Walter Ishee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-984-1000
Zachary Halliwell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 969 Lakeland Dr, Jackson, MS 39216 Phone: 601-200-2000

Theresa Ann Davis, CRNA - Medicare Nurse Anesthetist, Certified Registered in Jackson, MS

Contact Information

Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Collaborative approach may speed discovery of new preventive treatments for Alzheimer's disease

Updates from Pacific Biosciences to its commercial strategy and progress

Evidence strongly supports diuretics as initial metabolic syndrome therapy, especially in black patients

Proposed settlement does not cover underpaying professional provider claims: Federal court

Collaborative approach may speed discovery of new preventive treatments for Alzheimer's disease

Updates from Pacific Biosciences to its commercial strategy and progress

Evidence strongly supports diuretics as initial metabolic syndrome therapy, especially in black patients

Proposed settlement does not cover underpaying professional provider claims: Federal court

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

Collaborative approach may speed discovery of new preventive treatments for Alzheimer's disease

Updates from Pacific Biosciences to its commercial strategy and progress

Evidence strongly supports diuretics as initial metabolic syndrome therapy, especially in black patients

Proposed settlement does not cover underpaying professional provider claims: Federal court

Nurse Anesthetist, Certified Registered Nurses in Jackson, MS