Mr Samuel Lee, MS in Frederick, MD - Medicare Counselor Provider

Mr Samuel Lee, MS is a medicare enrolled "Counselor - Mental Health" provider in Frederick, Maryland. His current practice location is 1003 W 7th St Ste 403, Frederick, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 586-9878.

Mr Samuel Lee is licensed to practice in Maryland (license number LGP9754) 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 1508434440.

Contact Information

	Mr Samuel Lee, MS
	1003 W 7th St Ste 403, Frederick, MD 21701-8532
	(240) 586-9878
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Samuel Lee
Gender	Male
Speciality	Counselor - Mental Health
Location	1003 W 7th St Ste 403, Frederick, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508434440
Provider Enumeration Date: 06/16/2021
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 0446691000
Enrollment ID: I20240514000936

Medical Identifiers

Medical identifiers for Mr Samuel Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508434440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LGP9754 (Maryland)	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. Mr Samuel Lee allows following entities to bill medicare on his behalf.

Entity Name	Dagenhart Health And Wellness, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912336736 PECOS PAC ID: 2365817582 Enrollment ID: O20230331000400

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. Mr Samuel 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
Mr Samuel Lee, MS 3956 Braveheart Cir, Frederick, MD 21704-7743 Ph: (240) 586-9878	Mr Samuel Lee, MS 1003 W 7th St Ste 403, Frederick, MD 21701-8532 Ph: (240) 586-9878

Reviews and Comments

Counselor in Frederick, MD

Mrs. Pamela Warwick Hewetson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 703 W. Patrick St., Frederick, MD 21701 Phone: 301-662-8908 Fax: 301-662-3308
Mr. Jared Porter Neslen, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Thomas Johnson Dr, Ste 200, Frederick, MD 21702 Phone: 301-694-5896
Elizabeth Perry, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 N Court St, Frederick, MD 21701 Phone: 240-315-5822
Nicole Sonnleitner Goode, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3409a Urbana Pike Ste 2a, Frederick, MD 21704 Phone: 443-788-4266
Stefani Bon, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5216 Chairmans Ct Ste 104, Frederick, MD 21703 Phone: 301-304-7108
Harleigh Brice Robbins, LCPC, LPC, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 N Jefferson St Ste 203, Frederick, MD 21701 Phone: 202-750-1028
Caiwei Tang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Reagans Rd Apt 302, Frederick, MD 21702 Phone: 404-902-9713

Mr Samuel Lee, MS - Medicare Counselor in Frederick, MD