Dr Kwang Yup Lee, DC, LAC is a medicare enrolled "Acupuncturist" provider in Los Angeles, California. His current practice location is
440 Shatto Pl # 201a, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(213) 446-5935.
Dr Kwang Yup Lee is licensed to practice in California (license number AC6428) 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 1548960867.
Healthcare Provider's Profile
| Full Name | Dr Kwang Yup Lee |
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| Gender | Male |
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| Speciality | Acupuncturist |
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| Location | 440 Shatto Pl # 201a, Los Angeles, 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: 1548960867
- Provider Enumeration Date: 03/06/2023
- Last Update Date: 08/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991168411
- Enrollment ID: I20230831002603
Medical Identifiers
Medical identifiers for Dr Kwang Yup Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548960867 | NPI | - | NPPES |
| DC28510 | Other | CA | CHIROPRACTOR |
| AC6428 | Other | CA | ACUPUNCTURIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | DC28510 (California) | Secondary |
| 171100000X | Acupuncturist | AC6428 (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. Dr Kwang Yup Lee allows following entities to bill medicare on his behalf.
| Provider Name | Dr Kwang Lee Wellness Center Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1811674849
PECOS PAC ID: 6305209826
Enrollment ID: O20230831002229 |
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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. Dr Kwang Yup 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 |
|---|
Dr Kwang Yup Lee, DC, LAC
445 S Ardmore Ave Apt 320,
Los Angeles, CA 90020-6516
Ph: (213) 446-5935 | Dr Kwang Yup Lee, DC, LAC
440 Shatto Pl # 201a,
Los Angeles, CA 90020-1793
Ph: (213) 446-5935 |
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