Ms Mary Lyon Weisfeld, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Lake Wales, Florida. She went to University Of Tennessee, Hsc, College Of Medicine and graduated in 1976 and has 50 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesia Consultants Of Central Florida,llc and her current practice location is
5354 Timberlane Rd, Lake Wales, Florida. You can reach out to her office (for appointments etc.) via phone at
(276) 973-5683.
Ms Mary Lyon Weisfeld is licensed to practice in Florida (license number ARNP9389844) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790763357.
Provider's Profile
| Full Name | Ms Mary Lyon Weisfeld |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 50 Years |
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| Location | 5354 Timberlane Rd, Lake Wales, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Mary Lyon Weisfeld attended and graduated from University Of Tennessee, Hsc, College Of Medicine in 1976
NPI Data:
- NPI Number: 1790763357
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 11/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 7618865957
- Enrollment ID: I20151221000777
Medical Identifiers
Medical identifiers for Ms Mary Lyon Weisfeld such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790763357 | NPI | - | NPPES |
| 4061629 | Other | | BLUE CROSS OF TENNESSEE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 38592 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 027870 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 0001056478 (Virginia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | ARNP9389844 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Anesthesia Consultants Of Central Florida,llc | 5092813410 | 7 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Mary Lyon Weisfeld allows following entities to bill medicare on her behalf.
| Entity Name | Anesthesia Consultants of Central Florida,llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578681664
PECOS PAC ID: 5092813410
Enrollment ID: O20070608000407 |
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| Entity Name | Greater Florida Anesthesiologists LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942519657
PECOS PAC ID: 3173711017
Enrollment ID: O20101220000829 |
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| Entity Name | Fleming Island Anesthesia LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487945895
PECOS PAC ID: 6002084860
Enrollment ID: O20110721000345 |
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| Entity Name | Anesthesia Dynamics LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Lyon Weisfeld is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Ms Mary Lyon Weisfeld, CRNA
5354 Timberlane Rd,
Lake Wales, FL 33898-8959
Ph: (276) 628-5017 | Ms Mary Lyon Weisfeld, CRNA
5354 Timberlane Rd,
Lake Wales, FL 33898-8959
Ph: (276) 973-5683 |
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