Brandon Lee, DO | |
9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | |
(253) 968-1511 | |
Not Available |
Full Name | Brandon Lee |
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Gender | Male |
Speciality | Emergency Medicine |
Location | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649695248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 20A16787 (California) | Primary |
Entity Name | Cep America - California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Brandon Lee, DO 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: (253) 968-1511 | Brandon Lee, DO 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 Ph: (253) 968-1511 |
Dr. Matthew Christopher Miller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2997 | |
Dr. Robert P Mccoy, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 690 Barnes Blvd, Joint Base Lewis Mcchord, WA 98438 Phone: 740-454-4394 Fax: 253-982-0158 | |
Dr. Andrew Brigg, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9040 A Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-363-2300 | |
Nicholas Derfler, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2997 | |
Dr. Jonathan Isaac Stuart, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9040a Jackson Ave, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-1110 | |
Paul Freeman, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431 Phone: 253-968-2997 |