Jamille Lee, | |
975 Sereno Dr, Vallejo, CA 94589-2441 | |
(707) 651-3884 | |
Not Available |
Full Name | Jamille Lee |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 14 Years |
Location | 975 Sereno Dr, Vallejo, California |
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 |
---|---|---|---|
1659640811 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 676122 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Clearlake | Clearlake, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lyons Huber Management | 4789093741 | 17 |
St. Helena Hospital | 8729059878 | 74 |
Permanente Medical Group Inc | 8921910225 | 8376 |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Entity Name | St. Helena Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720078082 PECOS PAC ID: 8729059878 Enrollment ID: O20040803001176 |
Entity Name | Lyons Huber Management |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891370854 PECOS PAC ID: 4789093741 Enrollment ID: O20210504002949 |
Mailing Address | Practice Location Address |
---|---|
Jamille Lee, 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Jamille Lee, 975 Sereno Dr, Vallejo, CA 94589-2441 Ph: (707) 651-3884 |
Sarah Elizabeth Carter, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Ms. Anne Marie Pettibone, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4742 | |
Tina Hwa Cheng, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-4742 | |
Mr. Jhonnard James Acuna, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-5622 | |
John Micheal Pearlman, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Supreet Kaur, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-1000 | |
Marta Hammond Ashby, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 975 Sereno Dr, Vallejo, CA 94589 Phone: 707-651-3884 Fax: 707-651-2045 |