Chang Su Lee, DO | |
169 Martin Avenue, Ephrata, PA 17522 | |
(717) 859-4533 | |
(717) 859-4475 |
Full Name | Chang Su Lee |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 23 Years |
Location | 169 Martin Avenue, Ephrata, Pennsylvania |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720182132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | OS012276 (Pennsylvania) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prime Anesthesia Associates Pc | 5395008759 | 6 |
Entity Name | Lehigh Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508842246 PECOS PAC ID: 1759276827 Enrollment ID: O20040218000049 |
Entity Name | Prime Anesthesia Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1487157731 PECOS PAC ID: 5395008759 Enrollment ID: O20180417002093 |
Mailing Address | Practice Location Address |
---|---|
Chang Su Lee, DO Po Box 815, 169 Martin Avenue, Ephrata, PA 17522 Ph: (717) 859-4533 | Chang Su Lee, DO 169 Martin Avenue, Ephrata, PA 17522 Ph: (717) 859-4533 |
Robert A Garvin, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 Fax: 717-859-4475 | |
Brian R Melamed, PH.D., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 Fax: 717-859-4475 | |
Alan Berkowitz, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 | |
Dr. Ikenna K. Obioma, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861 | |
Dr. Jeffrey B Musser, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Sarah May Manmiller, Anesthesiology Medicare: Medicare Enrolled Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861 |