Travis Allen Lee, CRNA | |
2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 | |
(843) 402-1436 | |
Not Available |
Full Name | Travis Allen Lee |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 7 Years |
Location | 2095 Henry Tecklenburg Dr, Charleston, South Carolina |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639694086 | NPI | - | NPPES |
AN2712 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 0000185485 (Tennessee) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 21339 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Roper St Francis Hospital-berkely Inc | Moncks corner, SC | Hospital |
Prisma Heath Tuomey Hospital | Sumter, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Charleston Gastroenterology Specialists | 3173437472 | 59 |
Bon Secours St Francis Xavier Hospital Inc | 8325008717 | 169 |
Prisma Health University Medical Group | 8325950983 | 2206 |
Entity Name | Prisma Health University Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238 |
Entity Name | Charleston Gastroenterology Specialists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205835865 PECOS PAC ID: 3173437472 Enrollment ID: O20031119000237 |
Entity Name | Trident Anesthesia Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376595520 PECOS PAC ID: 5294631545 Enrollment ID: O20031209000391 |
Entity Name | Beach Anesthesia, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215061429 PECOS PAC ID: 6103924014 Enrollment ID: O20070530000620 |
Entity Name | Bon Secours St Francis Xavier Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740502822 PECOS PAC ID: 8325008717 Enrollment ID: O20100607000884 |
Entity Name | Medstream Anesthesia Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649616160 PECOS PAC ID: 7416198049 Enrollment ID: O20140304001021 |
Entity Name | Atlantic Coast Anesthesia Services Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932641313 PECOS PAC ID: 3971887167 Enrollment ID: O20170308000291 |
Entity Name | Ams South Carolina Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376021626 PECOS PAC ID: 4486988862 Enrollment ID: O20190619002430 |
Mailing Address | Practice Location Address |
---|---|
Travis Allen Lee, CRNA Po Box 603484, Charlotte, NC 28260-3484 Ph: (803) 765-1838 | Travis Allen Lee, CRNA 2095 Henry Tecklenburg Dr, Charleston, SC 29414-5733 Ph: (843) 402-1436 |
Christopher Arnold Hensley, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Rebecca Leeann Jordan, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 803-920-7547 | |
Linda G Dancy, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Sallie B Beam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406 Phone: 843-572-1228 Fax: 877-561-7564 | |
Ginger L Brister, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-876-5746 | |
Mrs. Tammie Ann Stahl, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 2095 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-402-1436 Fax: 843-402-1833 | |
Helen E Harman, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |