Lee Willingham, in Jacksonville, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Lee Willingham, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Total Care Anesthesia Partners Llc and his current practice location is 3625 University Blvd S, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 702-6111.

Lee Willingham is licensed to practice in Georgia (license number 246202) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487291837.

Contact Information

	Lee Willingham,
	3625 University Blvd S, Jacksonville, FL 32216-4207
	(904) 702-6111
	Not Available

Map and Direction

Provider's Profile

Full Name	Lee Willingham
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	3625 University Blvd S, Jacksonville, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lee Willingham graduated from nursing school in 2019

NPI Data:

NPI Number: 1487291837
Provider Enumeration Date: 12/04/2019
Last Update Date: 06/02/2022

Medicare PECOS Information:

PECOS PAC ID: 4082041306
Enrollment ID: I20210106001692

Medical Identifiers

Medical identifiers for Lee Willingham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487291837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN9438255 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	246202 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Habersham County Medical Ctr	Demorest, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Total Care Anesthesia Partners Llc	7618212200	3

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. Lee Willingham allows following entities to bill medicare on his behalf.

Entity Name	Total Care Anesthesia Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962985168 PECOS PAC ID: 7618212200 Enrollment ID: O20190102000354

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. Lee Willingham 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
Lee Willingham, 7651 Gate Pkwy Apt 2208, Jacksonville, FL 32256-4822 Ph: (770) 315-5101	Lee Willingham, 3625 University Blvd S, Jacksonville, FL 32216-4207 Ph: (904) 702-6111

Reviews and Comments

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Lee Willingham, - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL