| 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 | Certified Registered Nurse Anesthetist (crna) |
| Experience | 29 Years |
| Location | 1718 Sw Mockingbird Dr, Port Saint Lucie, Florida |
| 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 |
|---|---|---|---|
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ams National Llc | 3870813025 | 240 |
| 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: 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 | |
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 |