Jed Leifson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portage, Indiana. He graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Greater Ocala Anesthesia Associates Llc, Centers For Pain Control, Inc, Anesthesia Dynamics Llc, Northern Indiana Anesthesia Associates, Llc, Anesthesia Dynamics Llc and his current practice location is
3630 Willowcreek Rd, Portage, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 364-3000.
Jed Leifson is licensed to practice in Indiana (license number 130221) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1396383881.
Provider's Profile
| Full Name | Jed Leifson |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 7 Years |
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| Location | 3630 Willowcreek Rd, Portage, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jed Leifson graduated from nursing school in 2019
NPI Data:
- NPI Number: 1396383881
- Provider Enumeration Date: 12/15/2019
- Last Update Date: 02/05/2020
Medicare PECOS Information:
- PECOS PAC ID: 0941639280
- Enrollment ID: I20250407002056
Medical Identifiers
Medical identifiers for Jed Leifson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396383881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 28255655A (Indiana) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 130221 (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Greater Ocala Anesthesia Associates Llc | 4284139320 | 15 |
| Centers For Pain Control, Inc | 7416019450 | 27 |
| Anesthesia Dynamics Llc | 3779832530 | 860 |
| Northern Indiana Anesthesia Associates, Llc | 6709234750 | 10 |
| Anesthesia Dynamics Llc | 3779832530 | 860 |
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. Jed Leifson allows following entities to bill medicare on his behalf.
| Entity Name | Crystal River Anesthesia Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437718392 PECOS PAC ID: 1951639715 Enrollment ID: O20190819001462 |
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| Entity Name | Anesthesia Dynamics Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073001012 PECOS PAC ID: 3779832530 Enrollment ID: O20190820001117 |
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| Entity Name | Metro Orlando Anesthesia Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558981712 PECOS PAC ID: 4789008335 Enrollment ID: O20200716000495 |
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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. Jed Leifson 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 |
Jed Leifson, 28 N Palafox St, Pensacola, FL 32502-5626 Ph: (941) 360-1566 | Jed Leifson, 3630 Willowcreek Rd, Portage, IN 46368-5075 Ph: (219) 364-3000 |
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