Mimi Joonyoung Lee, DDS, MD in New York, NY

Mimi Joonyoung Lee, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in New York, New York. Her current practice location is 3915 Broadway, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 567-5536.

Mimi Joonyoung Lee is licensed to practice in New York (license number 056100-1) 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 1366604829.

Contact Information

	Mimi Joonyoung Lee, DDS, MD
	3915 Broadway, New York, NY 10032-1565
	(212) 567-5536
	(212) 202-6447

Map and Direction

Healthcare Provider's Profile

Full Name	Mimi Joonyoung Lee
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	3915 Broadway, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366604829
Provider Enumeration Date: 06/26/2008
Last Update Date: 02/25/2016

Medicare PECOS Information:

PECOS PAC ID: 6709016413
Enrollment ID: I20140225001365

Medical Identifiers

Medical identifiers for Mimi Joonyoung Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366604829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	056100-1 (New York)	Primary
204E00000X	Oral & Maxillofacial Surgery	265566-1 (New York)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(Georgia)	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. Mimi Joonyoung Lee allows following entities to bill medicare on her behalf.

Entity Name	Manhattan Oral Facial Surgery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528201613 PECOS PAC ID: 6709936891 Enrollment ID: O20090611000263

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. Mimi Joonyoung 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
Mimi Joonyoung Lee, DDS, MD 10 Hunter St, Hicksville, NY 11801-5832 Ph: (917) 903-7345	Mimi Joonyoung Lee, DDS, MD 3915 Broadway, New York, NY 10032-1565 Ph: (212) 567-5536

Reviews and Comments

Dentist in New York, NY

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David Formosan Lee, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 30 E 40th St Rm 305, New York, NY 10016 Phone: 212-370-1919
Dr. Grace Lee-hin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 80 Park Ave, #1a, New York, NY 10016 Phone: 212-986-1112 Fax: 212-986-1110
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Mimi Joonyoung Lee, DDS, MD - Medicare Dentist in New York, NY