Dr Johnathon M Lee, DDS is a medicare enrolled "Dentist" provider in Hacienda Hts, California. His current practice location is
3150 Colima Rd Ste A, Hacienda Hts, California. You can reach out to his office (for appointments etc.) via phone at
(626) 369-9494.
Dr Johnathon M Lee is licensed to practice in California (license number 51354) 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 1881923423.
Healthcare Provider's Profile
Full Name | Dr Johnathon M Lee |
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Gender | Male |
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Speciality | Dentist |
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Location | 3150 Colima Rd Ste A, Hacienda Hts, California |
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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: 1881923423
- Provider Enumeration Date: 12/10/2009
- Last Update Date: 12/10/2009
Medicare PECOS Information:
- PECOS PAC ID: 6507157690
- Enrollment ID: I20160621001018
Medical Identifiers
Medical identifiers for Dr Johnathon M Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881923423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 51354 (California) | 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. Dr Johnathon M 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 Johnathon M Lee, DDS 3150 Colima Rd Ste A, Hacienda Hts, CA 91745-6356 Ph: (626) 369-9494 | Dr Johnathon M Lee, DDS 3150 Colima Rd Ste A, Hacienda Hts, CA 91745-6356 Ph: (626) 369-9494 |
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