Pat Randolph Lee, PED NURSE PRAC CERT in Clinton, LA

Pat Randolph Lee, PED NURSE PRAC CERT is a medicare enrolled "Nurse Practitioner - Pediatrics" in Clinton, Louisiana. His current practice location is 11990 Jackson St, Clinton, Louisiana. You can reach out to his office (for appointments etc.) via phone at (225) 683-5292.

Pat Randolph Lee is licensed to practice in Louisiana (license number AP01814) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174535827.

Contact Information

	Pat Randolph Lee, PED NURSE PRAC CERT
	11990 Jackson St, Clinton, LA 70722
	(225) 683-5292
	(225) 683-3411

Map and Direction

Provider's Profile

Full Name	Pat Randolph Lee
Gender	Male
Speciality	Nurse Practitioner - Pediatrics
Location	11990 Jackson St, Clinton, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174535827
Provider Enumeration Date: 08/12/2006
Last Update Date: 01/23/2020

Medicare PECOS Information:

PECOS PAC ID: 5193821346
Enrollment ID: I20070509000622

Medical Identifiers

Medical identifiers for Pat Randolph Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174535827	NPI	-	NPPES
1689742	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	AP01814 (Louisiana)	Primary

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. Pat Randolph Lee allows following entities to bill medicare on his behalf.

Entity Name	Primary Care Providers For A Healthy Feliciana Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821245127 PECOS PAC ID: 1052220985 Enrollment ID: O20040224000173

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. Pat Randolph Lee 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
Pat Randolph Lee, PED NURSE PRAC CERT Po Box 395, Clinton, LA 70722-0395 Ph: (225) 683-5292	Pat Randolph Lee, PED NURSE PRAC CERT 11990 Jackson St, Clinton, LA 70722 Ph: (225) 683-5292

Reviews and Comments

Nurse Practitioner Nurses in Clinton, LA

Mrs. Lisa Hawkins Sorrel, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11323 Church St, Clinton, LA 70722 Phone: 225-683-3377 Fax: 225-683-3370
Shenita L Paynes, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10701 Reiley St, Clinton, LA 70722 Phone: 225-683-1350 Fax: 225-683-1359
Mrs. Kelly Bankston, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292
Karra Thomas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310
Chantel N Wiley, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10410 Plank Rd, Clinton, LA 70722 Phone: 225-683-8877 Fax: 225-683-1349
Mrs. Shannon N Amacker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-1310
Mrs. Darie S. Gilliam, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11990 Jackson St, Clinton, LA 70722 Phone: 225-683-5292 Fax: 225-683-3411

Pat Randolph Lee, PED NURSE PRAC CERT - Medicare Nurse Practitioner in Clinton, LA