Eric Gim Lee, DC, NP is a medicare enrolled "Nurse Practitioner - Family" provider in Westchester, California. His current practice location is
6506 Arizona Ave, Westchester, California. You can reach out to his office (for appointments etc.) via phone at
(424) 339-7577.
Eric Gim Lee is licensed to practice in California (license number NP95020519) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245337872.
Healthcare Provider's Profile
| Full Name | Eric Gim Lee |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 6506 Arizona Ave, Westchester, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1245337872
- Provider Enumeration Date: 09/17/2006
- Last Update Date: 07/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779481262
- Enrollment ID: I20031222000445
Medical Identifiers
Medical identifiers for Eric Gim Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245337872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC25160 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95020519 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | NP95020519 (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. Eric Gim Lee allows following entities to bill medicare on his behalf.
| Provider Name | Southern California Neuro Medical Services Inc |
|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
|---|
| Provider Identifiers | NPI Number: 1447833405
PECOS PAC ID: 9638567753
Enrollment ID: O20211022000427 |
|---|
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. Eric Gim 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 |
|---|
Eric Gim Lee, DC, NP
1150 W Capitol Dr Unit 38,
San Pedro, CA 90732-2269
Ph: (310) 325-7246 | Eric Gim Lee, DC, NP
6506 Arizona Ave,
Westchester, CA 90045-1330
Ph: (424) 339-7577 |
Reviews and Comments