Mrs Johanna Isabel Lee, in San Diego, CA - Medicare Counselor Provider

Mrs Johanna Isabel Lee, is a medicare enrolled "Counselor - Professional" provider in San Diego, California. Her current practice location is 3002 Armstrong St, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 373-4754.

Mrs Johanna Isabel Lee is licensed to practice in California (license number LPCC13089) 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 1245704865.

Contact Information

	Mrs Johanna Isabel Lee,
	3002 Armstrong St, San Diego, CA 92111-5702
	(619) 373-4754
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Johanna Isabel Lee
Gender	Female
Speciality	Counselor - Professional
Location	3002 Armstrong St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245704865
Provider Enumeration Date: 01/16/2019
Last Update Date: 05/08/2023

Medicare PECOS Information:

PECOS PAC ID: 9830531284
Enrollment ID: I20240530001850

Medical Identifiers

Medical identifiers for Mrs Johanna Isabel Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245704865	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(California)	Secondary
101YP2500X	Counselor - Professional	LPCC13089 (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. Mrs Johanna Isabel Lee allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Mrs Johanna Isabel 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
Mrs Johanna Isabel Lee, 3002 Armstrong St, San Diego, CA 92111-5702 Ph: (619) 373-4754	Mrs Johanna Isabel Lee, 3002 Armstrong St, San Diego, CA 92111-5702 Ph: (619) 373-4754

Reviews and Comments

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Mrs Johanna Isabel Lee, - Medicare Counselor in San Diego, CA