Bonmyong Lee, MD | |
2722 Merrilee Dr Ste 230, Fairfax, VA 22031-4400 | |
(703) 698-4444 | |
(703) 204-0116 |
Full Name | Bonmyong Lee |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 19 Years |
Location | 2722 Merrilee Dr Ste 230, Fairfax, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093923047 | NPI | - | NPPES |
289604ZARD | Medicaid | DC | |
540846558 | Other | MULTIPLAN - PHCS NETWORK ONLY | |
1093923047 | Medicaid | VA | |
0131 | Other | CAREFIRST | |
328550 | Other | KAISER | |
3810025992 | Medicaid | WV | |
75759 | Other | VA | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0202X | Radiology - Diagnostic Radiology | 0101241454 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hospital Of Univ Of Pennsylvania | Philadelphia, PA | Hospital |
Penn Presbyterian Medical Center | Philadelphia, PA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Penn-medical Group | 6204730955 | 3051 |
Entity Name | University Of Penn-medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091 |
Mailing Address | Practice Location Address |
---|---|
Bonmyong Lee, MD 2722 Merrilee Dr Ste 230, Fairfax, VA 22031-4400 Ph: (703) 698-4444 | Bonmyong Lee, MD 2722 Merrilee Dr Ste 230, Fairfax, VA 22031-4400 Ph: (703) 698-4444 |
Jing Selia Chen, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-573-0880 | |
Cheryl A Lindstrom, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-698-2176 | |
Sameena F Nasrullah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Suite 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-573-0880 | |
Elise L. Berman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, #230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-573-0880 | |
Suzanne M Hand, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4444 | |
Rodney J Butch, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 2722 Merrilee Dr, Ste. 230, Fairfax, VA 22031 Phone: 703-698-4483 Fax: 703-698-2176 | |
Lily Chu Sicard, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2722 Merrilee Dr, Ste 230, Fairfax, VA 22031 Phone: 703-698-4444 Fax: 703-573-0880 |