Andrea Jasmine Lee, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Orange, California. Her current practice location is
101 The City Dr S, Orange, California. You can reach out to her office (for appointments etc.) via phone at
(714) 456-6411.
Andrea Jasmine Lee is licensed to practice in California (license number ) 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 1104520386.
Physician's Profile
Full Name | Andrea Jasmine Lee |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 101 The City Dr S, Orange, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104520386
- Provider Enumeration Date: 03/30/2023
- Last Update Date: 04/24/2024
Medicare PECOS Information:
- PECOS PAC ID: 3577922426
- Enrollment ID: I20230710002995
Medical Identifiers
Medical identifiers for Andrea Jasmine Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104520386 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 58.033521 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (California) | Primary |
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. Andrea Jasmine 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 |
Andrea Jasmine Lee, 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-6411 | Andrea Jasmine Lee, 101 The City Dr S, Orange, CA 92868-3201 Ph: (714) 456-6411 |
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