David Lee, is a medicare enrolled "Social Worker - Clinical" provider in Santa Fe Springs, California. His current practice location is
11721 Telegraph Rd, Santa Fe Springs, California. You can reach out to his office (for appointments etc.) via phone at
(562) 949-8455.
David Lee is licensed to practice in California (license number LCSW114865) 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 1548624109.
Healthcare Provider's Profile
| Full Name | David Lee |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 11721 Telegraph Rd, Santa Fe Springs, 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: 1548624109
- Provider Enumeration Date: 04/11/2016
- Last Update Date: 04/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 7618334772
- Enrollment ID: I20230605001634
Medical Identifiers
Medical identifiers for David Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548624109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | ASW89297 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW114865 (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. David Lee allows following entities to bill medicare on his behalf.
| Entity Name | Pacific Clinics |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255496105
PECOS PAC ID: 4082008420
Enrollment ID: O20220228001926 |
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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. David 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 |
|---|
David Lee,
3217 Phelps Ave,
Los Angeles, CA 90032-2122
Ph: (626) 551-7975 | David Lee,
11721 Telegraph Rd,
Santa Fe Springs, CA 90670-3674
Ph: (562) 949-8455 |
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