| Carol M Lee, CRNA | |
|
1027 Washington Ave, Detroit Lakes, MN 56501 | |
| (218) 847-5611 | |
| (218) 847-0881 |
| Full Name | Carol M Lee |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 32 Years |
| Location | 1027 Washington Ave, Detroit Lakes, Minnesota |
| 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 |
|---|---|---|---|
| 1316965981 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Essentia Health St Marys - Detroit Lakes | Detroit lakes, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Marys Regional Health Center | 2062326820 | 158 |
| Entity Name | St Marys Regional Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090 |
| Entity Name | Sanford Clinic North |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1922303213 PECOS PAC ID: 4284546151 Enrollment ID: O20110319000058 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Carol M Lee, CRNA 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611 | Carol M Lee, CRNA 1027 Washington Ave, Detroit Lakes, MN 56501 Ph: (218) 847-5611 |
Jeffrey D. Sliper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Kristine K Domier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Russell H Sauer, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 | |
Benjamin B Evenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 | |
Dewayne M Dunham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 125 Frazee St E, Detroit Lakes, MN 56501 Phone: 218-844-2300 Fax: 218-844-2444 | |
Jeffrey R Johannsen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881 |