Won Jong Lee, DDS MD in Henderson, NV - Medicare Dentist Provider

Won Jong Lee, DDS MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Henderson, Nevada. His current practice location is 2835 Saint Rose Pkwy Ste 100, Henderson, Nevada. You can reach out to his office (for appointments etc.) via phone at (310) 715-9585.

Won Jong Lee is licensed to practice in Nevada (license number S2-203C) 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 1912429101.

Contact Information

	Won Jong Lee, DDS MD
	2835 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4847
	(310) 715-9585
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Won Jong Lee
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	2835 Saint Rose Pkwy Ste 100, Henderson, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912429101
Provider Enumeration Date: 07/10/2017
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 8325423205
Enrollment ID: I20220913001540

Medical Identifiers

Medical identifiers for Won Jong Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912429101	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	101135 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	101135 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	S2-203C (Nevada)	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. Won Jong Lee allows following entities to bill medicare on his behalf.

Entity Name	Connecticut Maxillofacial Surgeons Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285651133 PECOS PAC ID: 2062317134 Enrollment ID: O20031203000003

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. Won Jong 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
Won Jong Lee, DDS MD 334 N Atlantic Blvd Apt 209, Alhambra, CA 91801-2223 Ph: (310) 715-9585	Won Jong Lee, DDS MD 2835 Saint Rose Pkwy Ste 100, Henderson, NV 89052-4847 Ph: (310) 715-9585

Reviews and Comments

Dentist in Henderson, NV

Tania Quinn, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 34 N Valle Verde Dr, Suite 120, Henderson, NV 89074 Phone: 702-454-1008 Fax: 702-454-1009
Matthew Richard Wirig, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 375 N Stephanie St Ste 211, 120, Henderson, NV 89014 Phone: 702-454-1008 Fax: 702-454-1009
Dr. Douglas K Kern, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2811 N Green Valley Pkwy, Henderson, NV 89014 Phone: 702-434-2219 Fax: 702-456-6160
Ning Chang, DDS Dentist Medicare: Medicare Enrolled Practice Location: 680 S Green Valley Pkwy Ste 100, Henderson, NV 89052 Phone: 702-444-7771 Fax: 702-444-7934
Dr. Evan Bale Ellsworth, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2660 Windmill Pkwy, Henderson, NV 89074 Phone: 702-990-2960
Jenna Kaplan, Dentist Medicare: Not Enrolled in Medicare Practice Location: 4301 E Sunset Rd Ste 100, Henderson, NV 89014 Phone: 702-465-8187
Mardiros Y Stepanian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 305 N Pecos Rd, #f, Henderson, NV 89076 Phone: 702-896-6945 Fax: 702-896-0106

Won Jong Lee, DDS MD - Medicare Dentist in Henderson, NV