Jake Jaesang Lee, MD in Stanford, CA - Medicare Otolaryngology

Jake Jaesang Lee, MD is a medicare enrolled "Otolaryngology" physician in Stanford, California. His current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to his office (for appointments etc.) via phone at (650) 723-4000.

Jake Jaesang Lee is licensed to practice in California (license number A197590) 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 1619328499.

Contact Information

	Jake Jaesang Lee, MD
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jake Jaesang Lee
Gender	Male
Speciality	Otolaryngology
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619328499
Provider Enumeration Date: 06/23/2016
Last Update Date: 10/11/2024

Medicare PECOS Information:

PECOS PAC ID: 7719347301
Enrollment ID: I20230713003548

Medical Identifiers

Medical identifiers for Jake Jaesang Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619328499	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	2016020262 (Missouri)	Secondary
207Y00000X	Otolaryngology	MD481433 (Pennsylvania)	Secondary
207Y00000X	Otolaryngology	A197590 (California)	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. Jake Jaesang Lee allows following entities to bill medicare on his behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Jake Jaesang 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
Jake Jaesang Lee, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Jake Jaesang Lee, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Otolaryngology Doctors in Stanford, CA

Katie Kathleen Hohenberger, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Ahmed Adher D Alsayed, MD, FRCSC Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Nikolas Hans Blevins, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Vinay Thomas Fernandes, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 875 Blake Wilbur Drive, Cc-2226a, Stanford, CA 94305 Phone: 650-736-1680
Davud Baradaran Sirjani, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Dr. Yona Vaisbuch, M.D Otolaryngology Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Dr. William Russell Ryan, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 801 Welch Road, Stanford, CA 94305 Phone: 650-725-6500 Fax: 650-725-8502

Jake Jaesang Lee, MD - Medicare Otolaryngology in Stanford, CA