Jared Wayne Lee, RN, CRNA | |
400 E 3rd St, Duluth, MN 55805-1951 | |
(218) 786-4459 | |
Not Available |
Full Name | Jared Wayne Lee |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 400 E 3rd St, Duluth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124066972 | NPI | - | NPPES |
44350700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R171578-9 (Minnesota) | Primary |
Entity Name | Northeastern Anesthesia Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487956504 PECOS PAC ID: 4284813940 Enrollment ID: O20110126001051 |
Entity Name | Dec Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093006520 PECOS PAC ID: 9335319086 Enrollment ID: O20110907001087 |
Entity Name | Sunset Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841561347 PECOS PAC ID: 3779746375 Enrollment ID: O20120517000676 |
Mailing Address | Practice Location Address |
---|---|
Jared Wayne Lee, RN, CRNA 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-4459 | Jared Wayne Lee, RN, CRNA 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-4459 |
Christian Conner, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-4150 | |
Scott Ian Halvorson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555 | |
Jennifer M Heitzman, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364 | |
Emily Kathryn Eash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534 | |
Julie Kay Hendricks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364 | |
Jesse Stokke, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534 | |
Luke Andrew Schumacher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534 |