Daewoong Lee, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Bloomington, Indiana. He went to Columbia University College Of Physicians And Surgeons and graduated in 2016 and has 8 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and his current practice location is
888 S Auto Mall Rd, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 353-2700.
Daewoong Lee is licensed to practice in Indiana (license number 01086201A) 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 1477909703.
Physician's Profile
Full Name | Daewoong Lee |
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Gender | Male |
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Speciality | Interventional Pain Management |
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Experience | 8 Years |
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Location | 888 S Auto Mall Rd, Bloomington, Indiana |
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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:
- Daewoong Lee attended and graduated from Columbia University College Of Physicians And Surgeons in 2016
NPI Data:
- NPI Number: 1477909703
- Provider Enumeration Date: 05/05/2016
- Last Update Date: 01/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133411622
- Enrollment ID: I20210831002659
Medical Identifiers
Medical identifiers for Daewoong Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477909703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 270737 (Massachusetts) | Secondary |
207R00000X | Internal Medicine | 125.069028 (Illinois) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 66702 (Minnesota) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 01086201A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 449 |
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. Daewoong Lee allows following entities to bill medicare on his behalf.
Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
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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. Daewoong 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 |
Daewoong Lee, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Daewoong Lee, MD 888 S Auto Mall Rd, Bloomington, IN 47401-5430 Ph: (812) 353-2700 |
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