| Mr Lester Lee Jefferson Jr, CRNA | |
| 1718 Sw Mockingbird Dr, Port Saint Lucie, FL 34986-2045 | |
| (772) 871-9161 | |
| Not Available | 
| Full Name | Mr Lester Lee Jefferson Jr | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 1718 Sw Mockingbird Dr, Port Saint Lucie, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1588799241 | NPI | - | NPPES | 
| 3044688-00 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP2971342 (Florida) | Primary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 577707 (Texas) | Secondary | 
| Entity Name | Sheridan Healthcorp Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 | 
| Entity Name | Anesthesia Services Of Brevard | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1720011877 PECOS PAC ID: 3274544242 Enrollment ID: O20060505000698 | 
| Entity Name | Jupiter Anesthesia Associates Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1700073848 PECOS PAC ID: 0547348211 Enrollment ID: O20080421000429 | 
| Entity Name | Ams National Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 | 
| Entity Name | East Coast Anesthesia Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538641352 PECOS PAC ID: 3072851914 Enrollment ID: O20190219000845 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mr Lester Lee Jefferson Jr, CRNA 1718 Sw Mockingbird Dr, Port Saint Lucie, FL 34986-2045 Ph: (772) 871-9161 | Mr Lester Lee Jefferson Jr, CRNA 1718 Sw Mockingbird Dr, Port Saint Lucie, FL 34986-2045 Ph: (772) 871-9161 | 
| Suzanne E Mininger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
| Danielle Lyn Rudoff-perez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1874 Se Port Saint Lucie Blvd, Anesthesia Department, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-223-3605 | |
| Charles David Reams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
| Maureen Bosco, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
| Mrs. Kellie Marie Cardenas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-335-4000 | |
| Lillian M Negron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 |