Mr Lester Lee Jefferson Jr, CRNA | |
1718 Sw Mockingbird Dr, Port Saint Lucie, FL 34986-2045 | |
(772) 871-9161 | |
Not Available |
Full Name | Mr Lester Lee Jefferson Jr |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1718 Sw Mockingbird Dr, Port Saint Lucie, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588799241 | NPI | - | NPPES |
3044688-00 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | ARNP2971342 (Florida) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | 577707 (Texas) | Secondary |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Anesthesia Services Of Brevard |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720011877 PECOS PAC ID: 3274544242 Enrollment ID: O20060505000698 |
Entity Name | Jupiter Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700073848 PECOS PAC ID: 0547348211 Enrollment ID: O20080421000429 |
Entity Name | Ams National Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613 |
Entity Name | Valant Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083104681 PECOS PAC ID: 5597014050 Enrollment ID: O20180817000014 |
Entity Name | East Coast Anesthesia Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538641352 PECOS PAC ID: 3072851914 Enrollment ID: O20190219000845 |
Entity Name | Blue Water Anesthesia Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972163533 PECOS PAC ID: 7517294614 Enrollment ID: O20190813001083 |
Mailing Address | Practice Location Address |
---|---|
Mr Lester Lee Jefferson Jr, CRNA 1718 Sw Mockingbird Dr, Port Saint Lucie, FL 34986-2045 Ph: (772) 871-9161 | Mr Lester Lee Jefferson Jr, CRNA 1718 Sw Mockingbird Dr, Port Saint Lucie, FL 34986-2045 Ph: (772) 871-9161 |
Suzanne E Mininger, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
Danielle Lyn Rudoff-perez, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1874 Se Port Saint Lucie Blvd, Anesthesia Department, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-223-3605 | |
Charles David Reams, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
Maureen Bosco, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 | |
Mrs. Kellie Marie Cardenas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1800 Se Tiffany Ave, Port Saint Lucie, FL 34952 Phone: 772-335-4000 | |
Lillian M Negron, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1874 Se Port St Lucie Blvd, Port Saint Lucie, FL 34952 Phone: 772-337-7676 Fax: 772-337-9034 |