Dr Juliette L Lee, MD is a medicare enrolled "Dermatology" physician in San Bruno, California. Her current practice location is
801 Traeger Ave, Suite 310, San Bruno, California. You can reach out to her office (for appointments etc.) via phone at
(650) 742-2060.
Dr Juliette L Lee is licensed to practice in California (license number BL9423435) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780887810.
Physician's Profile
| Full Name | Dr Juliette L Lee |
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| Gender | Female |
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| Speciality | Dermatology |
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| Location | 801 Traeger Ave, San Bruno, California |
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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: 1780887810
- Provider Enumeration Date: 06/06/2007
- Last Update Date: 12/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234225319
- Enrollment ID: I20071020000179
Medical Identifiers
Medical identifiers for Dr Juliette L Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780887810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | BL9423435 (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. Dr Juliette L Lee allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Juliette L 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 |
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Dr Juliette L Lee, MD
801 Traeger Ave, Suite 310,
San Bruno, CA 94066-3048
Ph: (650) 742-2060 | Dr Juliette L Lee, MD
801 Traeger Ave, Suite 310,
San Bruno, CA 94066-3048
Ph: (650) 742-2060 |
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