Jason Chigoro Lee Mabee, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Olivia, Minnesota. His current practice location is
100 Healthy Way, Olivia, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 523-1261.
Jason Chigoro Lee Mabee is licensed to practice in Minnesota (license number 1308) 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 1114000759.
Provider's Profile
| Full Name | Jason Chigoro Lee Mabee |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 100 Healthy Way, Olivia, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1114000759
- Provider Enumeration Date: 10/24/2006
- Last Update Date: 03/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 2365458569
- Enrollment ID: I20111019000821
Medical Identifiers
Medical identifiers for Jason Chigoro Lee Mabee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114000759 | NPI | - | NPPES |
| 915815906 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 1308 (Minnesota) | 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. Jason Chigoro Lee Mabee allows following entities to bill medicare on his behalf.
| Entity Name | Family Surgery Center, Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1831200120
PECOS PAC ID: 8022043785
Enrollment ID: O20050930000467 |
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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. Jason Chigoro Lee Mabee 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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Jason Chigoro Lee Mabee,
1022 Trevino Road,
Clinton, MO 64735
Ph: (660) 885-5058 | Jason Chigoro Lee Mabee,
100 Healthy Way,
Olivia, MN 56277-1117
Ph: (320) 523-1261 |
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