| Mrs Lesa Renee Johnson, CRNA | |
|
101 Hospital Cir, Luverne, AL 36049-7329 | |
| (334) 335-1172 | |
| Not Available |
| Full Name | Mrs Lesa Renee Johnson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 19 Years |
| Location | 101 Hospital Cir, Luverne, Alabama |
| 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 |
|---|---|---|---|
| 1093860868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 077313 (Alabama) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 1-077282 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Crenshaw County Health Care Authority | 4385073436 | 6 |
| Community Anesthesia, Llc | 6901158161 | 13 |
| Ambulatory Management Llc | 9436501178 | 9 |
| Entity Name | Professional Resources Management Of Crenshaw Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750480406 PECOS PAC ID: 8325006604 Enrollment ID: O20050103000959 |
| Entity Name | Epix Anesthesia Of Alabama Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629427059 PECOS PAC ID: 8022300748 Enrollment ID: O20160715001459 |
| Entity Name | Veronox Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669951604 PECOS PAC ID: 0143572891 Enrollment ID: O20181009000934 |
| Entity Name | Community Anesthesia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598242497 PECOS PAC ID: 6901158161 Enrollment ID: O20181016003576 |
| Entity Name | Crenshaw County Health Care Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750480406 PECOS PAC ID: 4385073436 Enrollment ID: O20201027001062 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Lesa Renee Johnson, CRNA 567 W 6th St, Luverne, AL 36049-1649 Ph: (334) 335-5334 | Mrs Lesa Renee Johnson, CRNA 101 Hospital Cir, Luverne, AL 36049-7329 Ph: (334) 335-1172 |
Mrs. Elizabeth Dale Shepherd, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Drive, Luverne, AL 36049 Phone: 334-335-3374 Fax: 334-335-1119 |