Dr Ernest Enoch Lee, is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Gardena, California. His current practice location is
18600 S Figueroa St, Gardena, California. You can reach out to his office (for appointments etc.) via phone at
(310) 516-2424.
Dr Ernest Enoch Lee is licensed to practice in New Jersey (license number 25MA08289200) 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 1366642795.
Physician's Profile
Full Name | Dr Ernest Enoch Lee |
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Gender | Male |
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Speciality | Dermatology - Procedural Dermatology |
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Location | 18600 S Figueroa St, Gardena, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366642795
- Provider Enumeration Date: 07/24/2007
- Last Update Date: 12/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 7113016247
- Enrollment ID: I20090110000031
Medical Identifiers
Medical identifiers for Dr Ernest Enoch Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366642795 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207NS0135X | Dermatology - Procedural Dermatology | 25MA08289200 (New Jersey) | 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 Ernest Enoch Lee allows following entities to bill medicare on his behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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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 Ernest Enoch 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 Ernest Enoch Lee, 18600 S Figueroa St, Gardena, CA 90248-4505 Ph: (310) 516-2424 | Dr Ernest Enoch Lee, 18600 S Figueroa St, Gardena, CA 90248-4505 Ph: (310) 516-2424 |
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