Dr Ki Young Lee Portillo, AUD in Los Angeles, CA - Medicare Qualified Audiologist Provider

Dr Ki Young Lee Portillo, AUD is a medicare enrolled "Audiologist" provider in Los Angeles, California. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Qualified Audiologist. She is a member of the group practice Usc Care Medical Group Inc and her current practice location is 1520 San Pablo St Ste 5100, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 442-5790.

Dr Ki Young Lee Portillo is licensed to practice in California (license number AU 1759) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144347964.

Contact Information

	Dr Ki Young Lee Portillo, AUD
	1520 San Pablo St Ste 5100, Los Angeles, CA 90033-5310
	(323) 442-5790
	(323) 442-5740

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ki Young Lee Portillo
Gender	Female
Speciality	Qualified Audiologist
Experience	18 Years
Location	1520 San Pablo St Ste 5100, Los Angeles, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Ki Young Lee Portillo graduated from medical school in 2006

NPI Data:

NPI Number: 1144347964
Provider Enumeration Date: 03/25/2007
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0345347035
Enrollment ID: I20070514000499

Medical Identifiers

Medical identifiers for Dr Ki Young Lee Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144347964	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AU 1759 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Keck Hospital Of Usc	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Usc Care Medical Group Inc	0446157747	1142

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. Dr Ki Young Lee Portillo allows following entities to bill medicare on her behalf.

Provider Name	Usc Care Medical Group Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

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. Dr Ki Young Lee Portillo 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
Dr Ki Young Lee Portillo, AUD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-5790	Dr Ki Young Lee Portillo, AUD 1520 San Pablo St Ste 5100, Los Angeles, CA 90033-5310 Ph: (323) 442-5790

Reviews and Comments

Audiologist in Los Angeles, CA

House Ear Institute Care Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2100 W 3rd St, Los Angeles, CA 90057 Phone: 213-353-7005 Fax: 213-483-3716
Mr. Ray W. Lawrence, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2080 Century Park E Ste 1702, Los Angeles, CA 90067 Phone: 310-201-0731 Fax: 310-201-9665
Susana Jennifer Hernandez, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2160 W Adams Blvd, Los Angeles, CA 90018 Phone: 213-748-5481 Fax: 213-749-1651
Martha L. Andrews, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 11301 Wilshire Blvd, W126, Los Angeles, CA 90073 Phone: 310-268-3701 Fax: 310-268-4791
Lindsey Seong, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1127 Wilshire Blvd Ste 1620, Los Angeles, CA 90017 Phone: 213-353-7052
Robert Rathburn, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2100 W 3rd St Ste 111, Los Angeles, CA 90057 Phone: 213-353-7052
Sandra Romero, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4650 Sunset Blvd., Mailstop #36, Los Angeles, CA 90027 Phone: 323-361-4593 Fax: 323-361-2801

Dr Ki Young Lee Portillo, AUD - Medicare Audiologist in Los Angeles, CA