Dr Jai Goo Lee, DDS in Lakeport, CA - Medicare Dentist Provider

Dr Jai Goo Lee, DDS is a medicare enrolled "Dentist" provider in Lakeport, California. His current practice location is 925 Bevins Court, Lakeport, California. You can reach out to his office (for appointments etc.) via phone at (707) 263-8383.

Dr Jai Goo Lee is licensed to practice in California (license number 103634) 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 1164497319.

Contact Information

	Dr Jai Goo Lee, DDS
	925 Bevins Court, Lakeport, CA 95453-9754
	(707) 263-8383
	(707) 263-5019

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jai Goo Lee
Gender	Male
Speciality	Dentist
Location	925 Bevins Court, Lakeport, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164497319
Provider Enumeration Date: 02/21/2006
Last Update Date: 09/27/2024

Medicare PECOS Information:

PECOS PAC ID: 2163567611
Enrollment ID: I20241008002029

Medical Identifiers

Medical identifiers for Dr Jai Goo Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164497319	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D8660 (Oregon)	Secondary
122300000X	Dentist	103634 (California)	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. Dr Jai Goo Lee allows following entities to bill medicare on his behalf.

Entity Name	Lake County Tribal Health Consortium Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323

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. Dr Jai Goo 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
Dr Jai Goo Lee, DDS Po Box 1950, Lakeport, CA 95453-1950 Ph: (707) 263-8383	Dr Jai Goo Lee, DDS 925 Bevins Court, Lakeport, CA 95453-9754 Ph: (707) 263-8383

Reviews and Comments

Dentist in Lakeport, CA

Dr. Alexander Russell Mcgeoch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1870 N High St, Lakeport, CA 95453 Phone: 707-263-5427 Fax: 707-263-3925
Tina Ngo, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5335 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-263-7725
John Granville Jenkins, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5335 Lakeshore Blvd, Lakeport, CA 95453 Phone: 707-263-0196 Fax: 707-263-1439
Dr. Marlin Noelia Duran, DDS Dentist Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8383 Fax: 707-263-5019
Dr. James Edward Milani, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 800 11th St, Lakeport, CA 95453 Phone: 707-263-9992 Fax: 707-263-9994
Dr. Jonathan Michael Drew, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 120 9th St, Lakeport, CA 95453 Phone: 707-263-5390

Dr Jai Goo Lee, DDS - Medicare Dentist in Lakeport, CA