Dr Theodore Tak Lee, DDS in Bremerton, WA - Medicare Dentist Provider

Dr Theodore Tak Lee, DDS is a medicare enrolled "Dentist" provider in Bremerton, Washington. His current practice location is 616 6th St, Bremerton, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 377-3776.

Dr Theodore Tak Lee is licensed to practice in Washington (license number DE60477328) 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 1912311234.

Contact Information

	Dr Theodore Tak Lee, DDS
	616 6th St, Bremerton, WA 98337-1420
	(360) 377-3776
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Theodore Tak Lee
Gender	Male
Speciality	Dentist
Location	616 6th St, Bremerton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912311234
Provider Enumeration Date: 06/14/2014
Last Update Date: 08/18/2014

Medicare PECOS Information:

PECOS PAC ID: 7810251915
Enrollment ID: I20180425001342

Medical Identifiers

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

Identifier	Type	State	Issuer
1912311234	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE60477328 (Washington)	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 Theodore Tak Lee allows following entities to bill medicare on his behalf.

Entity Name	Sun River Health Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568526838 PECOS PAC ID: 6608783568 Enrollment ID: O20040714000375

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 Theodore Tak 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 Theodore Tak Lee, DDS Po Box 960, Bremerton, WA 98337-0212 Ph: (360) 377-3776	Dr Theodore Tak Lee, DDS 616 6th St, Bremerton, WA 98337-1420 Ph: (360) 377-3776

Reviews and Comments

Dentist in Bremerton, WA

Dr. Brian R Bowman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2554 Perry Ave, Bremerton, WA 98310 Phone: 360-479-0444 Fax: 360-479-6638
Alicia Denise Stephens, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 616 6th Street, Bremerton, WA 98337 Phone: 360-478-2368 Fax: 360-475-3700
Dr. Michael R Morell, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6500 Windward Pl Nw, Bremerton, WA 98312 Phone: 360-271-3221
Dr. Larry K Heggerness, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4110 Kitsap Way Ste 100, Bremerton, WA 98312 Phone: 360-479-8822 Fax: 360-479-3565
Dr. Seok Whan Nichols, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5050 State Highway 303 Ne, Suite 123, Bremerton, WA 98311 Phone: 360-377-9800 Fax: 360-377-6192
Michael H Huntley, DDS,PLLC Dentist Medicare: Not Enrolled in Medicare Practice Location: 7500 Old Military Rd Ne, Suite 201, Bremerton, WA 98311 Phone: 360-692-4705 Fax: 360-692-4846
Robert Lee Gross, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 616 6th St, Bremerton, WA 98337 Phone: 360-478-2368 Fax: 360-475-3700

Dr Theodore Tak Lee, DDS - Medicare Dentist in Bremerton, WA