Dr Andrew Sungchurl Lee, MD is a medicare enrolled "General Practice" physician in East Amherst, New York. His current practice location is
95 Chasewood Ln, East Amherst, New York. You can reach out to his office (for appointments etc.) via phone at
(646) 384-2486.
Dr Andrew Sungchurl Lee is licensed to practice in New York (license number 265694) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366757486.
Physician's Profile
| Full Name | Dr Andrew Sungchurl Lee |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 95 Chasewood Ln, East Amherst, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1366757486
- Provider Enumeration Date: 08/12/2010
- Last Update Date: 12/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 1850738436
- Enrollment ID: I20240318003822
Medical Identifiers
Medical identifiers for Dr Andrew Sungchurl Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366757486 | NPI | - | NPPES |
| C167303 | Other | CA | PHYSICIAN AND SURGEON C |
| 265694 | Other | NY | NYSED |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207X00000X | Orthopaedic Surgery | 265694 (New York) | Secondary |
| 208D00000X | General Practice | 265694 (New York) | Primary |
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. Dr Andrew Sungchurl Lee allows following entities to bill medicare on his behalf.
| Entity Name | Signify Health Medical Associates Of California Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124685169
PECOS PAC ID: 8325370570
Enrollment ID: O20191022000320 |
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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. Dr Andrew Sungchurl 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 |
|---|
Dr Andrew Sungchurl Lee, MD
95 Chasewood Ln,
East Amherst, NY 14051-1821
Ph: (646) 384-2486 | Dr Andrew Sungchurl Lee, MD
95 Chasewood Ln,
East Amherst, NY 14051-1821
Ph: (646) 384-2486 |
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