| Justin Lee, CRNA | |
|
711 Marshall St, Leavenworth, KS 66048-3235 | |
| (913) 684-1100 | |
| (913) 684-1239 |
| Full Name | Justin Lee |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 711 Marshall St, Leavenworth, Kansas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972928778 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 13072095072 (Kansas) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 557247 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Citizens Medical Center Inc | 8729996467 | 28 |
| Entity Name | Citizens Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386678431 PECOS PAC ID: 8729996467 Enrollment ID: O20031222000868 |
| Entity Name | New Wave Anesthesia Service Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811474760 PECOS PAC ID: 7719237494 Enrollment ID: O20180829003218 |
| Entity Name | Clinical Colleagues Ks Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548813967 PECOS PAC ID: 3870921984 Enrollment ID: O20200323002520 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Lee, CRNA Po Box 410272, Kansas City, MO 64141-0272 Ph: (913) 234-1350 | Justin Lee, CRNA 711 Marshall St, Leavenworth, KS 66048-3235 Ph: (913) 684-1100 |
Mrs. Christine M Johnson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1298 Eisenhower Rd, Leavenworth, KS 66048 Phone: 913-727-5600 Fax: 816-727-5602 | |
Kenneth Dean Moburg, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1298 Eisenhower Rd, Leavenworth, KS 66048 Phone: 913-727-5600 Fax: 913-727-5602 | |
Ruth Pottinger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 16225 Gilman Rd., Leavenworth, KS 66048 Phone: 913-727-5600 Fax: 913-727-5602 | |
Suzanne K Marske, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1298 Eisenhower Rd, Leavenworth, KS 66048 Phone: 913-727-5600 Fax: 913-727-5602 | |
William Joseph Mathia, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1298 Eisenhower Rd, Leavenworth, KS 66048 Phone: 913-727-5600 Fax: 913-727-5602 |