Daesung Lee, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Wooster, Ohio. He went to State University Of New York At Stony Brook, School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Radiation Oncology. He is a member of the group practice Cleveland Clinic - Wooster and his current practice location is
721 E Milltown Rd, Wooster, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 287-4500.
Daesung Lee is licensed to practice in Ohio (license number 35085322) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1750468526.
Physician's Profile
Full Name | Daesung Lee |
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Gender | Male |
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Speciality | Radiation Oncology |
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Experience | 27 Years |
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Location | 721 E Milltown Rd, Wooster, Ohio |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Daesung Lee attended and graduated from State University Of New York At Stony Brook, School Of Medicine in 1997
NPI Data:
- NPI Number: 1750468526
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 04/01/2008
Medicare PECOS Information:
- PECOS PAC ID: 1850357062
- Enrollment ID: I20050110000004
Medical Identifiers
Medical identifiers for Daesung Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750468526 | NPI | - | NPPES |
2553080 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 35085322 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cleveland Clinic - Wooster | 6800708124 | 199 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Daesung Lee allows following entities to bill medicare on his behalf.
Entity Name | The Cleveland Clinic Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
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Entity Name | Wooster Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
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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. Daesung 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 |
Daesung Lee, MD 1740 Cleveland Rd, Wooster, OH 44691-2204 Ph: (330) 287-4500 | Daesung Lee, MD 721 E Milltown Rd, Wooster, OH 44691-1255 Ph: (330) 287-4500 |
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