Dr Jonathan C Lee, MD - Medicare Diagnostic Radiology in Fort Wayne, IN

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Dr Jonathan C Lee, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Fort Wayne, Indiana. He went to Indiana University School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Summit Radiology Pc, X-ray Physicians Of Shelbyville Pc, Kosciusko Medical Group Llc, Henry County Memorial Hospital and his current practice location is 5001 Us Highway 30 W Ste D, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 432-1568.

Dr Jonathan C Lee is licensed to practice in Indiana (license number 01073121A) 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 1205190147.

Contact Information

Dr Jonathan C Lee, MD
5001 Us Highway 30 W Ste D,
Fort Wayne, IN 46818-9701
(260) 432-1568
(260) 432-4969

Map and Direction




Physician's Profile

Full NameDr Jonathan C Lee
GenderMale
SpecialityDiagnostic Radiology
Experience13 Years
Location5001 Us Highway 30 W Ste D, Fort Wayne, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jonathan C Lee attended and graduated from Indiana University School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1205190147
  • Provider Enumeration Date: 06/26/2012
  • Last Update Date: 08/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9537398086
  • Enrollment ID: I20140204001359

Medical Identifiers

Medical identifiers for Dr Jonathan C Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205190147NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085B0100XRadiology - Body Imaging 5118-850 (Wisconsin)Secondary
2085R0202XRadiology - Diagnostic Radiology 62743 (Wisconsin)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 62743 (Wisconsin)Secondary
2085R0204XRadiology - Vascular & Interventional Radiology 01073121A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lutheran Hospital Of IndianaFort wayne, INHospital
Marion General HospitalMarion, INHospital
Dupont Hospital LlcFort wayne, INHospital
Memorial HospitalLogansport, INHospital
Kosciusko Community HospitalWarsaw, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Radiology Pc014329541078
X-ray Physicians Of Shelbyville Pc226442021548
Kosciusko Medical Group Llc549680995650
Henry County Memorial Hospital6002724085123

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 Jonathan C Lee allows following entities to bill medicare on his behalf.
Entity NameHenry County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891570537
PECOS PAC ID: 6002724085
Enrollment ID: O20031121000221
Entity NameX-ray Physicians Of Shelbyville Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144351347
PECOS PAC ID: 2264420215
Enrollment ID: O20040506000325
Entity NameSummit Radiology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073584587
PECOS PAC ID: 0143295410
Enrollment ID: O20040831000152
Entity NameKosciusko Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932349594
PECOS PAC ID: 5496809956
Enrollment ID: O20090818000398

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 Jonathan C 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 Jonathan C Lee, MD
Po Box 80070,
Fort Wayne, IN 46898-0070

Ph: (260) 432-1568		Dr Jonathan C Lee, MD
5001 Us Highway 30 W Ste D,
Fort Wayne, IN 46818-9701

Ph: (260) 432-1568

Reviews and Comments


Radiology Doctors in Fort Wayne, IN

Dr. Benjamin Jon Moreno, MD, PHD
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Dr. Andre Byard Stovall, MD
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Dr. Gregg R Mattison, M.D.
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Christopher M Wing, M.D.
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Dr. Ahdy Messiha, M.D.
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Phone: 260-432-1568    Fax: 260-432-4969
Vivek K. Sharma, M.D.
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Practice Location: 5001 Us Highway 30 W Ste D, Fort Wayne, IN 46818
Phone: 260-432-1568    Fax: 260-432-4969

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.