Ms Corrie Ruth Lee, MSW, LCSW, SAC is a medicare enrolled "Social Worker - Clinical" provider in Kenosha, Wisconsin. She graduated from healthcare school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Psychiatric And Psychotherapy Clinic L I Newman Md Sc Gen Ptr and her current practice location is
3734 7th Ave, Suite 24, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 654-0487.
Ms Corrie Ruth Lee is licensed to practice in Wisconsin (license number 7331-123) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275652315.
Healthcare Provider's Profile
| Full Name | Ms Corrie Ruth Lee |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 20 Years |
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| Location | 3734 7th Ave, Kenosha, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Corrie Ruth Lee graduated from medical school in 2004
NPI Data:
- NPI Number: 1275652315
- Provider Enumeration Date: 03/28/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6608973920
- Enrollment ID: I20070522000307
Medical Identifiers
Medical identifiers for Ms Corrie Ruth Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275652315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14819-131 (Wisconsin) | Primary |
| 1041C0700X | Social Worker - Clinical | 7331-123 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Psychiatric And Psychotherapy Clinic L I Newman Md Sc Gen Ptr | 0547200198 | 6 |
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. Ms Corrie Ruth Lee allows following entities to bill medicare on her behalf.
| Entity Name | Psychiatric & Psychotherapy Clinic L I Newman Md Sc Gen Ptr |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932312212
PECOS PAC ID: 0547200198
Enrollment ID: O20050503001288 |
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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. Ms Corrie Ruth 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 |
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Ms Corrie Ruth Lee, MSW, LCSW, SAC
3734 7th Ave, Suite 24,
Kenosha, WI 53140-5525
Ph: (262) 654-0487 | Ms Corrie Ruth Lee, MSW, LCSW, SAC
3734 7th Ave, Suite 24,
Kenosha, WI 53140-5525
Ph: (262) 654-0487 |
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