Jed Leifson, - Medicare Nurse Anesthetist, Certified Registered in Portage, IN

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Jed Leifson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portage, Indiana. His current practice location is 3630 Willowcreek Rd, Portage, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 364-3000.

Jed Leifson is licensed to practice in Indiana (license number 130221) 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 1396383881.

Contact Information

Jed Leifson,
3630 Willowcreek Rd,
Portage, IN 46368-5075
(219) 364-3000
Not Available

Map and Direction




Provider's Profile

Full NameJed Leifson
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location3630 Willowcreek Rd, Portage, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1396383881
  • Provider Enumeration Date: 12/15/2019
  • Last Update Date: 02/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0941639280
  • Enrollment ID: I20200407002880

Medical Identifiers

Medical identifiers for Jed Leifson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396383881NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28255655A (Indiana)Secondary
367500000XNurse Anesthetist, Certified Registered 130221 (Indiana)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. Jed Leifson allows following entities to bill medicare on his behalf.
Entity NamePorter County Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215974936
PECOS PAC ID: 4789573411
Enrollment ID: O20040311001120
Entity NameCenters For Pain Control, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790920452
PECOS PAC ID: 7416019450
Enrollment ID: O20081229000343
Entity NameAnesthesia Care Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073899449
PECOS PAC ID: 6608042288
Enrollment ID: O20120103000455
Entity NameNorthstar Anesthesia Of Indiana Ii Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629475421
PECOS PAC ID: 6305161654
Enrollment ID: O20150210000088
Entity NameIndiana Ams Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275018236
PECOS PAC ID: 3971857897
Enrollment ID: O20181113001456
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20191011000052
Entity NameNorthern Indiana Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033891510
PECOS PAC ID: 6709234750
Enrollment ID: O20231130003347

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. Jed Leifson 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 AddressPractice Location Address
Jed Leifson,
28 N Palafox St,
Pensacola, FL 32502-5626

Ph: (941) 360-1566		Jed Leifson,
3630 Willowcreek Rd,
Portage, IN 46368-5075

Ph: (219) 364-3000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Portage, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.