Dr Soo Jin Lee, DMD in Brookline, MA - Medicare Dentist Provider

Dr Soo Jin Lee, DMD is a medicare enrolled "Dentist - Orofacial Pain" provider in Brookline, Massachusetts. Her current practice location is 1318 Beacon St Ste 1, Brookline, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (857) 858-0246.

Dr Soo Jin Lee is licensed to practice in Massachusetts (license number DN10000184) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518451103.

Contact Information

	Dr Soo Jin Lee, DMD
	1318 Beacon St Ste 1, Brookline, MA 02446
	(857) 858-0246
	(857) 858-0345

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Soo Jin Lee
Gender	Female
Speciality	Dentist - Orofacial Pain
Location	1318 Beacon St Ste 1, Brookline, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518451103
Provider Enumeration Date: 06/18/2018
Last Update Date: 11/09/2024

Medicare PECOS Information:

PECOS PAC ID: 8820447568
Enrollment ID: I20231207000288

Medical Identifiers

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

Identifier	Type	State	Issuer
1518451103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X2210X	Dentist - Orofacial Pain	DN10000184 (Massachusetts)	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 Soo Jin Lee allows following entities to bill medicare on her behalf.

Entity Name	Bryan Kim Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689142648 PECOS PAC ID: 3971843632 Enrollment ID: O20190318000583

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 Soo Jin 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 Soo Jin Lee, DMD 1443 Beacon St Apt 706, Brookline, MA 02446-4712 Ph: (678) 677-1578	Dr Soo Jin Lee, DMD 1318 Beacon St Ste 1, Brookline, MA 02446 Ph: (857) 858-0246

Reviews and Comments

Dentist in Brookline, MA

Dr. Zachary U Kano, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1842 Beacon St, Brookline, MA 02445 Phone: 617-566-5445
Dr. Neda Shah-hosseini, D.M.D., CAGS Dentist Medicare: Medicare Enrolled Practice Location: 1577 Beacon St, Brookline, MA 02446 Phone: 617-734-8599 Fax: 617-739-8452
Dr. Nickolay N Lipetsker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1247a Beacon St, Brookline, MA 02446 Phone: 617-566-5400 Fax: 617-731-1535
Bahar Houshmand, Dentist Medicare: Medicare Enrolled Practice Location: 209 Harvard St, Brookline, MA 02446 Phone: 617-870-6511
Susan Han, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1180 Beacon St, Suite 2b, Brookline, MA 02446 Phone: 617-277-4100
Dr. Audrey Laimins, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1684 Beacon St, Brookline, MA 02445 Phone: 617-232-7100
Linda Park, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1443 Beacon St, Brookline, MA 02446 Phone: 617-232-8222

Dr Soo Jin Lee, DMD - Medicare Dentist in Brookline, MA