Stacy Rae Davis (NPI# 1578029609, PAC ID# 5092055889) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1578029609 |
| PAC ID by PECOS | 5092055889 |
| Professional Enrollment ID | I20190313002274 |
| Full Name | Stacy Rae Davis |
| Organization Legal Name | CMH PHYSICIAN SERVICES, LLC |
| Address |
200 E 5th St Chase City VA 23924-1456 |
| Phone Number | 4343720900 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3779551445 |
| Number of Group Practice Members | 67 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490098 | COMMUNITY MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 E 5th St, Chase City, VA 23924-1456 | 4343720900 | CMH PHYSICIAN SERVICES, LLC |
| 61 Burlington Dr, Clarksville, VA 23927-3235 | 4343742773 | CMH PHYSICIAN SERVICES, LLC |
| Organization Legal Name | CMH PHYSICIAN SERVICES, LLC |
| Physicians | 71 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Binyam Dessie | Pediatric Medicine | Cmh Physician Services, LLC | 420 Durant St, South Hill, VA 23970-1614 |
| Eric Vincent Reinertson | Obstetrics/gynecology | Cmh Physician Services, LLC | 420 Bracey Ln, South Hill, VA 23970-1631 |
| Brian F Brown | Certified Registered Nurse Anesthetist (crna) | Cmh Physician Services, LLC | 1755 N Mecklenburg Ave, South Hill, VA 23950-1781 |
| Lynnette R Reville | Qualified Audiologist | Cmh Physician Services, LLC | 413 Bracey Ln, South Hill, VA 23970-1632 |
| Teresa Parham | Nurse Practitioner | Cmh Physician Services, LLC | 61 Burlington Dr, Clarksville, VA 23927-3235 |
| Kirk R Hasenmueller | Family Medicine | Cmh Physician Services, LLC | 200 E 5th St, Chase City, VA 23924-1456 |
| Michael John Tozzi | General Surgery | Cmh Physician Services, LLC | 416 Durant St, South Hill, VA 23970-1614 |
| Timothy J Wallace | Radiation Oncology | Cmh Physician Services, LLC | 125 Buena Vista Cir, South Hill, VA 23970-1431 |
| Vicky T Kennedy | Nurse Practitioner | Cmh Physician Services, LLC | 140 E Ferrell St, South Hill, VA 23970-1631 |
| David F Edwards | Emergency Medicine | Cmh Physician Services, LLC | 1755 N Mecklenburg Ave, South Hill, VA 23950-1781 |
| Street Address |
200 E 5TH ST |
| City | CHASE CITY |
| State | VA |
| Zip | 23924-1456 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kirk R Hasenmueller | Family Medicine | Cmh Physician Services, LLC | 200 E 5th St, Chase City, VA 23924-1456 |
| Mark A Niles | Chiropractic | 200 E 5th St, Tipton, IA 52772-1851 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Keysha D Ahmad-winborne | Nurse Practitioner | Dominion Health Medical Assoc | 946 N Main St, Chase City, VA 23924-1139 |
| Jacob Cody Beach | Nurse Practitioner | Dominion Health Medical Assoc | 946 N Main St, Chase City, VA 23924-1139 |
| Vivia B Whitfield | Nurse Practitioner | Dominion Health Medical Assoc | 946 N Main St, Chase City, VA 23924-1139 |
| Henry Thurston Browning | Family Medicine | Dominion Health Medical Assoc | 946 N Main St, Chase City, VA 23924-1139 |
| Randall Suslick | Family Medicine | Dominion Health Medical Assoc | 946 N Main St, Chase City, VA 23924-1139 |
| Rachael A Burton | Family Medicine | Dominion Health Medical Assoc | 946 N Main St, Chase City, VA 23924-1139 |
| Jessica D Ruff | Nurse Practitioner | Dominion Health Medical Assoc | 946 N Main St, Chase City, VA 23924-1139 |
| Alyssa N Milam | Nurse Practitioner | Dominion Health Medical Assoc | 946 N Main St, Chase City, VA 23924-1139 |
| Jagdeep Singh | Physical Therapy | 503 N Main St, Chase City, VA 23924-1407 |
| City | CHASE CITY |
| Zip Code | 23924 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | CHASE CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Stacy Rae Davis.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.