Jason Lee, MD | |
3635 Vista, St Louis, MO 63110 | |
(314) 577-8750 | |
(314) 268-5102 |
Full Name | Jason Lee |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3635 Vista, St Louis, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639196215 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 102897 (Missouri) | Primary |
Entity Name | First Choice Anesthesia Consultants Of Northern California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568749570 PECOS PAC ID: 8628231537 Enrollment ID: O20120511000306 |
Entity Name | Summit Anesthesia Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588938971 PECOS PAC ID: 0941465512 Enrollment ID: O20120705000148 |
Mailing Address | Practice Location Address |
---|---|
Jason Lee, MD 3691 Rutger Ave, Provider Enrollment, St Louis, MO 63110 Ph: (314) 977-4440 | Jason Lee, MD 3635 Vista, St Louis, MO 63110 Ph: (314) 577-8750 |
Mary Hanna, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 660 South Euclid Avenue, St Louis, MO 63110 Phone: 613-795-4184 | |
Dr. Grant Nicholas Bleeker, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3015 N Ballas Rd, St Louis, MO 63131 Phone: 314-996-5000 | |
Hui Yuan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Jeffrey Owen Bray, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 | |
John D Srinivasan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Lucia Z Liu, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3635 Vista, St Louis, MO 63110 Phone: 314-577-8750 Fax: 314-268-5102 | |
Kumiko Shimoda, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 6420 Clayton Road, St Louis, MO 63117 Phone: 314-768-8442 Fax: 314-768-8442 |