Bryan D Lee, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Rexburg, Idaho. His current practice location is
360 E. Main St., Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 356-5959.
Bryan D Lee is licensed to practice in Idaho (license number M-11482) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790905495.
Healthcare Provider's Profile
Full Name | Bryan D Lee |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 360 E. Main St., Rexburg, Idaho |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Bryan D Lee attended and graduated from in
NPI Data:
- NPI Number: 1790905495
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 05/29/2015
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Bryan D Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790905495 | NPI | - | NPPES |
806068200 | Medicaid | ID | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D-3542 (Idaho) | Secondary |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | D-3542-OS (Idaho) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | M-11482 (Idaho) | Primary |
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. Bryan D 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 |
Bryan D Lee, DDS, MD 360 E. Main St., Rexburg, ID 83440 Ph: (208) 356-5959 | Bryan D Lee, DDS, MD 360 E. Main St., Rexburg, ID 83440 Ph: (208) 356-5959 |
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