Dr James Paul Lee, MD - Medicare Pediatrics in New Market, MD

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Dr James Paul Lee, MD is a medicare enrolled "Pediatrics" physician in New Market, Maryland. His current practice location is 11717 Old National Pike, #8, New Market, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 363-4663.

Dr James Paul Lee is licensed to practice in Maryland (license number D0033531) 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 1043214810.

Contact Information

Dr James Paul Lee, MD
11717 Old National Pike, #8,
New Market, MD 21774
(301) 363-4663
(301) 829-5820

Map and Direction




Physician's Profile

Full NameDr James Paul Lee
GenderMale
SpecialityPediatrics
Location11717 Old National Pike, New Market, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043214810
  • Provider Enumeration Date: 06/09/2005
  • Last Update Date: 12/15/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 0840516472
  • Enrollment ID: I20150226000135

Medical Identifiers

Medical identifiers for Dr James Paul Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043214810NPI-NPPES
402541500MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine D0033531 (Maryland)Secondary
208000000XPediatrics D0033531 (Maryland)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 James Paul Lee allows following entities to bill medicare on his behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20140522000040

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 James Paul 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 AddressPractice Location Address
Dr James Paul Lee, MD
11717 Old National Pike, #8,
New Market, MD 21774

Ph: (301) 363-4663		Dr James Paul Lee, MD
11717 Old National Pike, #8,
New Market, MD 21774

Ph: (301) 363-4663

Reviews and Comments


Pediatrics Doctors in New Market, MD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.