Mrs Lesa Renee Johnson, CRNA | |
101 Hospital Cir, Luverne, AL 36049-7329 | |
(334) 335-1172 | |
Not Available |
Full Name | Mrs Lesa Renee Johnson |
---|---|
Gender | Female |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 18 Years |
Location | 101 Hospital Cir, Luverne, Alabama |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093860868 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 077313 (Alabama) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 1-077282 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crenshaw Community Hospital | Luverne, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crenshaw County Health Care Authority | 4385073436 | 5 |
Community Anesthesia, Llc | 6901158161 | 12 |
Entity Name | Professional Resources Management Of Crenshaw Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480406 PECOS PAC ID: 8325006604 Enrollment ID: O20050103000959 |
Entity Name | Epix Anesthesia Of Alabama Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629427059 PECOS PAC ID: 8022300748 Enrollment ID: O20160715001459 |
Entity Name | Veronox Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669951604 PECOS PAC ID: 0143572891 Enrollment ID: O20181009000934 |
Entity Name | Community Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598242497 PECOS PAC ID: 6901158161 Enrollment ID: O20181016003576 |
Entity Name | Crenshaw County Health Care Authority |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750480406 PECOS PAC ID: 4385073436 Enrollment ID: O20201027001062 |
Mailing Address | Practice Location Address |
---|---|
Mrs Lesa Renee Johnson, CRNA 567 W 6th St, Luverne, AL 36049-1649 Ph: (334) 335-5334 | Mrs Lesa Renee Johnson, CRNA 101 Hospital Cir, Luverne, AL 36049-7329 Ph: (334) 335-1172 |
Mrs. Elizabeth Dale Shepherd, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Drive, Luverne, AL 36049 Phone: 334-335-3374 Fax: 334-335-1119 |