Mrs Lesa Renee' Seales, AA-C is a medicare enrolled "Anesthesiologist Assistant" in Belleville, Illinois. Her current practice location is
211 S. 3rd St., Belleville, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 234-2120.
Mrs Lesa Renee' Seales is licensed to practice in * (Not Available) (license number 161D) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1811969892.
Provider's Profile
| Full Name | Mrs Lesa Renee' Seales |
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| Gender | Female |
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| Speciality | Anesthesiologist Assistant |
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| Location | 211 S. 3rd St., Belleville, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1811969892
- Provider Enumeration Date: 02/03/2006
- Last Update Date: 07/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 9032168620
- Enrollment ID: I20220803001960
Medical Identifiers
Medical identifiers for Mrs Lesa Renee' Seales such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1811969892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | 2009028903 (Missouri) | Secondary |
| 367H00000X | Anesthesiologist Assistant | 161D (* (Not Available)) | Primary |
| 163WP0000X | Registered Nurse - Pain Management | AA NOT LIC. BY STATE (Illinois) | Secondary |
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. Mrs Lesa Renee' Seales allows following entities to bill medicare on her behalf.
| Entity Name | Ssm Health Slu Hospital Anesthesia Physician Billing Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407232804
PECOS PAC ID: 3274842331
Enrollment ID: O20151013000437 |
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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. Mrs Lesa Renee' Seales 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 |
|---|
Mrs Lesa Renee' Seales, AA-C
3215 Executive Park Dr., Hshs Medical Group,
Springfield, IL 62703
Ph: (618) 234-2120 | Mrs Lesa Renee' Seales, AA-C
211 S. 3rd St.,
Belleville, IL 62221
Ph: (618) 234-2120 |
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