Jonghyeok Lee, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is
1968 W Adams Blvd # 101, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 731-3534.
Jonghyeok Lee is licensed to practice in * (Not Available) (license number ) 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 1710444377.
Healthcare Provider's Profile
Full Name | Jonghyeok Lee |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1968 W Adams Blvd # 101, 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. |
NPI Data:
- NPI Number: 1710444377
- Provider Enumeration Date: 03/01/2019
- Last Update Date: 09/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820469729
- Enrollment ID: I20230131002130
Medical Identifiers
Medical identifiers for Jonghyeok Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710444377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 85457 (California) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Jonghyeok Lee allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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Entity Name | Well Mental Health Counseling Licensed Clinical Social Worker Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942080981 PECOS PAC ID: 6800244658 Enrollment ID: O20231205000355 |
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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. Jonghyeok 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 |
Jonghyeok Lee, 1665 W Adams Blvd, Los Angeles, CA 90007-1533 Ph: (323) 731-3534 | Jonghyeok Lee, 1968 W Adams Blvd # 101, Los Angeles, CA 90018-3515 Ph: (323) 731-3534 |
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