Mr James Lee Mattingly, CRNA in New York, NY - Medicare Certified Registered Nurse Anesthetist (crna)

Mr James Lee Mattingly, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New York, New York. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Trustees Of Columbia University In The City Of New York and his current practice location is 5141 Broadway, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 305-9876.

Mr James Lee Mattingly is licensed to practice in New York (license number 635864) 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 1720033764.

Contact Information

	Mr James Lee Mattingly, CRNA
	5141 Broadway, New York, NY 10034-1159
	(212) 305-9876
	(212) 305-8980

Map and Direction

Provider's Profile

Full Name	Mr James Lee Mattingly
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	24 Years
Location	5141 Broadway, New York, New York
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:

Mr James Lee Mattingly graduated from nursing school in 2000

NPI Data:

NPI Number: 1720033764
Provider Enumeration Date: 05/24/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 9931146917
Enrollment ID: I20110303000756

Medical Identifiers

Medical identifiers for Mr James Lee Mattingly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720033764	NPI	-	NPPES
430069965	Other	MO	MO RR MEDICARE NUMBER
28264022	Other	MO	MO BCBS NUMBER
915831309	Medicaid	MO
100388350B	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	126000 (Missouri)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	635864 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
New York-presbyterian Hospital	New york, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trustees Of Columbia University In The City Of New York	8527972546	1895

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. Mr James Lee Mattingly allows following entities to bill medicare on his behalf.

Entity Name	Trustees Of Columbia University In The City Of New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841239829 PECOS PAC ID: 9537067715 Enrollment ID: O20040114000461

Entity Name	Trustees Of Columbia University In The City Of New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613

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. Mr James Lee Mattingly 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
Mr James Lee Mattingly, CRNA 622 W 168th St, New York, NY 10032-3720 Ph: (212) 305-9878	Mr James Lee Mattingly, CRNA 5141 Broadway, New York, NY 10034-1159 Ph: (212) 305-9876

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in New York, NY

Steven Winnett, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-2962
Egbert Clayton, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1275 York Ave, New York, NY 10021 Phone: 646-227-3813
Nora Zmuidins, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1275 York Ave, New York, NY 10021 Phone: 646-227-3813
Ms. Lynn Ann Reilly, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 525 E 68th St, New York, NY 10065 Phone: 212-746-2959
Lauren Peiffer Selame, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1275 York Ave, New York, NY 10065 Phone: 212-639-2000
Sung Min Park, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5072
Amanda M L Reuter, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 550 1st Ave, New York, NY 10016 Phone: 212-263-5072

Mr James Lee Mattingly, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in New York, NY