Ms Leslie A Wizauer, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fenton, Michigan. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Midwest Anesthesia Resources, Inc., Matrix Anesthesia Plc and her current practice location is
12198 Mantawauka Dr, Fenton, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 996-4775.
Ms Leslie A Wizauer is licensed to practice in Michigan (license number 106426) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205847316.
Provider's Profile
Full Name | Ms Leslie A Wizauer |
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Gender | Female |
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Speciality | Certified Registered Nurse Anesthetist (crna) |
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Experience | 19 Years |
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Location | 12198 Mantawauka Dr, Fenton, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Leslie A Wizauer graduated from nursing school in 2005
NPI Data:
- NPI Number: 1205847316
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 04/08/2014
Medicare PECOS Information:
- PECOS PAC ID: 5092819300
- Enrollment ID: I20070327000064
Medical Identifiers
Medical identifiers for Ms Leslie A Wizauer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205847316 | NPI | - | NPPES |
101850691 | Medicaid | MI | |
0B56166 | Other | MI | BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 106426 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Midwest Anesthesia Resources, Inc. | 3476455726 | 10 |
Matrix Anesthesia Plc | 9830360544 | 5 |
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. Ms Leslie A Wizauer allows following entities to bill medicare on her behalf.
Entity Name | Midwest Anesthesia Resources, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467424465 PECOS PAC ID: 3476455726 Enrollment ID: O20040126000687 |
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Entity Name | Family Orthopedic Associates P L C |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215930490 PECOS PAC ID: 6800888124 Enrollment ID: O20040330000670 |
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Entity Name | Matrix Anesthesia Plc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386922268 PECOS PAC ID: 9830360544 Enrollment ID: O20110928000671 |
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Entity Name | Asa Staffing Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114378981 PECOS PAC ID: 3971898644 Enrollment ID: O20160818002713 |
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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. Ms Leslie A Wizauer 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 |
Ms Leslie A Wizauer, CRNA 12198 Mantawauka Dr, Fenton, MI 48430-8853 Ph: (810) 964-7756 | Ms Leslie A Wizauer, CRNA 12198 Mantawauka Dr, Fenton, MI 48430-8853 Ph: (810) 996-4775 |
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