Dr Samuel Soonho Lee, DDS in San Diego, CA

Dr Samuel Soonho Lee, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in San Diego, California. His current practice location is 6727 Flanders Dr Ste 220, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (714) 718-3446.

Dr Samuel Soonho Lee is licensed to practice in California (license number 51353) 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 1851418255.

Contact Information

	Dr Samuel Soonho Lee, DDS
	6727 Flanders Dr Ste 220, San Diego, CA 92121-2926
	(714) 718-3446
	(888) 553-4912

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Samuel Soonho Lee
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	6727 Flanders Dr Ste 220, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851418255
Provider Enumeration Date: 03/23/2007
Last Update Date: 04/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2961842661
Enrollment ID: I20240429001897

Medical Identifiers

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

Identifier	Type	State	Issuer
1851418255	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN1855469 (Massachusetts)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	51353 (California)	Primary
122300000X	Dentist	51353 (California)	Secondary
122300000X	Dentist	054368-1 (New York)	Secondary

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 Samuel Soonho Lee allows following entities to bill medicare on his behalf.

Entity Name	Care To Share Smile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972378362 PECOS PAC ID: 1052751757 Enrollment ID: O20240429001755

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 Samuel Soonho 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 Samuel Soonho Lee, DDS 11 Cambridge St, Burlington, MA 01803-4625 Ph: (714) 718-3446	Dr Samuel Soonho Lee, DDS 6727 Flanders Dr Ste 220, San Diego, CA 92121-2926 Ph: (714) 718-3446

Reviews and Comments

Dentist in San Diego, CA

Dr. Lam Chittaphong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126 Phone: 858-722-6332 Fax: 888-514-1239
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Jonathan Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2050 El Cajon Blvd, San Diego, CA 92104 Phone: 619-637-9774
Ghassan Adnan Jabbar Jayyar, DMD Dentist Medicare: Medicare Enrolled Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114 Phone: 619-263-6683
Dr. Hemamalini Srinivasan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4921a Clairemont Dr, San Diego, CA 92117 Phone: 858-272-7300 Fax: 858-272-3135
Dr. Stanley Lawrence Baquial, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117 Phone: 858-581-3641 Fax: 858-581-6135

Dr Samuel Soonho Lee, DDS - Medicare Dentist in San Diego, CA