| Miae Lee, CRNA | |
|
3300 Renner Dr, Fortuna, CA 95540-3120 | |
| (707) 725-3361 | |
| Not Available |
| Full Name | Miae Lee |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 25 Years |
| Location | 3300 Renner Dr, Fortuna, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154423770 | NPI | - | NPPES |
| RN4693190 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | CRNA2665 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Redwood Memorial Hospital | Fortuna, CA | Hospital |
| Entity Name | Willits Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
| Entity Name | Pacific Memorial Anesthesia Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750406146 PECOS PAC ID: 6507967395 Enrollment ID: O20070724000202 |
| Mailing Address | Practice Location Address |
|---|---|
| Miae Lee, CRNA Po Box 5486, Orange, CA 92863-5486 Ph: (818) 550-0900 | Miae Lee, CRNA 3300 Renner Dr, Fortuna, CA 95540-3120 Ph: (707) 725-3361 |
Stephanie L Demara, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3300 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3611 | |
D. Peter Goldberg, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3300 Renner Dr, Fortuna, CA 95540 Phone: 707-725-3361 | |
Neal E Feuerman, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3300 Renner Dr, Fortuna, CA 95540 Phone: 707-725-7327 Fax: 707-725-7252 |