Jamie Jinju Lee, AUD is a medicare enrolled "Audiologist" provider in Lake Forest, California. Her current practice location is
24352 Rockfield Blvd, Lake Forest, California. You can reach out to her office (for appointments etc.) via phone at
(949) 461-0166.
Jamie Jinju Lee is licensed to practice in California (license number 3653) 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 1134891146.
Healthcare Provider's Profile
| Full Name | Jamie Jinju Lee |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 24352 Rockfield Blvd, Lake Forest, California |
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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: 1134891146
- Provider Enumeration Date: 09/29/2021
- Last Update Date: 11/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2668842121
- Enrollment ID: I20221228002038
Medical Identifiers
Medical identifiers for Jamie Jinju Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134891146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 231H00000X | Audiologist | 3653 (California) | Primary |
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. Jamie Jinju Lee allows following entities to bill medicare on her behalf.
| Provider Name | Southern California Permanente Medical Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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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. Jamie Jinju Lee 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 |
|---|
Jamie Jinju Lee, AUD
3 Brandy Ln,
Aliso Viejo, CA 92656-2933
Ph: (909) 241-5589 | Jamie Jinju Lee, AUD
24352 Rockfield Blvd,
Lake Forest, CA 92630-4742
Ph: (949) 461-0166 |
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