Mrs Seungeun Lee, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Brockton, Massachusetts. Her current practice location is
10 Meadowbrook Rd, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(781) 697-1248.
Mrs Seungeun Lee is licensed to practice in * (Not Available) (license number ) 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 1265979025.
Healthcare Provider's Profile
Full Name | Mrs Seungeun Lee |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 10 Meadowbrook Rd, Brockton, Massachusetts |
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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: 1265979025
- Provider Enumeration Date: 01/31/2017
- Last Update Date: 08/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 3678924560
- Enrollment ID: I20240104002384
Medical Identifiers
Medical identifiers for Mrs Seungeun Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265979025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Mrs Seungeun Lee allows following entities to bill medicare on her behalf.
Entity Name | High Point Treatment Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1518996354 PECOS PAC ID: 3779578174 Enrollment ID: O20040415001222 |
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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. Mrs Seungeun 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 Seungeun Lee, 10 Meadowbrook Rd, Brockton, MA 02301-7122 Ph: (781) 697-1248 | Mrs Seungeun Lee, 10 Meadowbrook Rd, Brockton, MA 02301-7122 Ph: (781) 697-1248 |
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