Dae-won Lee, | |
1 Hospital Dr, Columbia, MO 65212-1000 | |
(573) 882-3233 | |
(573) 884-5994 |
Full Name | Dae-won Lee |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1 Hospital Dr, Columbia, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881078707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2015021362 (Missouri) | Primary |
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 |
---|---|
Dae-won Lee, Phr Group Provider Enrollment Unit, 393 E Walnut St Fl 3, Pasadena, CA 91188-0001 Ph: (877) 608-0044 | Dae-won Lee, 1 Hospital Dr, Columbia, MO 65212-1000 Ph: (573) 882-3233 |
Rylee Shawn Duckworth, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994 | |
Dr. Michael Habhab, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Hospital Dr Emergency Medicine M562 Dc029.10, Columbia, MO 65212 Phone: 573-884-4400 | |
Michael Hauan, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1600 E Broadway, Columbia, MO 65201 Phone: 573-815-3573 Fax: 314-631-4491 | |
Derek G Hebert, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-6003 Fax: 573-884-5410 | |
Dr. Betsy Lynn Borsheski, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-882-8091 Fax: 573-884-1902 | |
Dylan Carroll, Emergency Medicine Medicare: Medicare Enrolled Practice Location: One Hospital Drive, Suite M562, Columbia, MO 65212 Phone: 573-884-3233 Fax: 573-884-5994 | |
George Jesus Ubinas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hospital Dr, Columbia, MO 65212 Phone: 573-884-4400 Fax: 573-884-5994 |