| Jessica Lee, AA | |
|
36000 Euclid Ave, Willoughby, OH 44094-4625 | |
| (440) 350-0832 | |
| (440) 354-7420 |
| Full Name | Jessica Lee |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology Assistant |
| Experience | 15 Years |
| Location | 36000 Euclid Ave, Willoughby, Ohio |
| 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 |
|---|---|---|---|
| 1265759401 | NPI | - | NPPES |
| 3142950 | Medicaid | OH | |
| P01168482 | Other | OH | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 67.000175 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood, OH | Hospital |
| University Hospitals Of Cleveland | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Primary Care Practices Inc | 3072417534 | 972 |
| University Hospitals Medical Group Inc | 4789682493 | 1735 |
| Entity Name | University Primary Care Practices Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003935339 PECOS PAC ID: 3072417534 Enrollment ID: O20031125000767 |
| Entity Name | University Hospitals Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
| Entity Name | Ohio Anesthesia Group, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639348113 PECOS PAC ID: 9537222138 Enrollment ID: O20090108000069 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Lee, AA 7757 Auburn Rd Ste 15, Painesville, OH 44077-9604 Ph: (440) 350-0832 | Jessica Lee, AA 36000 Euclid Ave, Willoughby, OH 44094-4625 Ph: (440) 350-0832 |
Todd A Lewis, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-354-7420 | |
Jennifer J.r. Loomis, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-354-7420 | |
Nicholas Peterson, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 | |
Anthony J Koury, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-953-9600 | |
Rebecca C Keating, AA-C Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-579-0191 | |
Ryan A Ferra, CAA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 36000 Euclid Ave, Willoughby, OH 44094 Phone: 440-350-0832 Fax: 440-579-0191 |