Dr Kiwon Lee, DDS in Montvale, NJ - Medicare Dentist Provider

Dr Kiwon Lee, DDS is a medicare enrolled "Dentist - General Practice" provider in Montvale, New Jersey. His current practice location is 305 W Grand Ave Ste 100, Montvale, New Jersey. You can reach out to his office (for appointments etc.) via phone at (201) 746-9474.

Dr Kiwon Lee is licensed to practice in New Jersey (license number 22DI02591500) 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 1588983019.

Contact Information

	Dr Kiwon Lee, DDS
	305 W Grand Ave Ste 100, Montvale, NJ 07645-1829
	(201) 746-9474
	(201) 746-9473

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kiwon Lee
Gender	Male
Speciality	Dentist - General Practice
Location	305 W Grand Ave Ste 100, Montvale, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588983019
Provider Enumeration Date: 05/24/2010
Last Update Date: 09/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7810277100
Enrollment ID: I20170202001925

Medical Identifiers

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

Identifier	Type	State	Issuer
1588983019	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	058305-1 (New York)	Secondary
1223G0001X	Dentist - General Practice	22DI02591500 (New Jersey)	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 Kiwon Lee allows following entities to bill medicare on his behalf.

Entity Name	Jordan C. Stern M.d.p.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891025466 PECOS PAC ID: 0749321800 Enrollment ID: O20100112000050

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 Kiwon 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 Kiwon Lee, DDS 65 Broadway Ste 901, New York, NY 10006-2535 Ph: (212) 683-0174	Dr Kiwon Lee, DDS 305 W Grand Ave Ste 100, Montvale, NJ 07645-1829 Ph: (201) 746-9474

Reviews and Comments

Dentist in Montvale, NJ

Dr. Robert H Guller, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 S Kinderkamack Rd, Montvale, NJ 07645 Phone: 201-391-5565 Fax: 201-391-8747
Dr. Luiza Bauta, Dentist Medicare: Not Enrolled in Medicare Practice Location: 26 Forshee Cir, Montvale, NJ 07645 Phone: 201-282-1960
Dr. Dorothy Anne Feehan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 S Kinderkamack Rd, Montvale, NJ 07645 Phone: 201-391-5565 Fax: 201-391-8747
Dr. Cheryl M Marcus-podhaizer, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 S Kinderkamack Rd, Montvale, NJ 07645 Phone: 201-391-5565 Fax: 201-391-8747
Dr. Eli M Rachlin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 Chestnut Ridge Rd Ste 1130, Montvale, NJ 07645 Phone: 201-391-4441
Dr. Barry Joel Morse, DDS Dentist Medicare: Medicare Enrolled Practice Location: 70 Chestnut Ridge Rd, Suite A & B, Montvale, NJ 07645 Phone: 201-391-1444 Fax: 201-391-4077

Dr Kiwon Lee, DDS - Medicare Dentist in Montvale, NJ