Dr Mimi Shishou Lee, MD - Medicare Neurology in Fountain Valley, CA

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Dr Mimi Shishou Lee, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Fountain Valley, California. She graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Neurology. She is a member of the group practice Providence Health And Services Washington, Providence Saint Johns Medical Foundation, Providence Health And Services - Washington, Cep America - Neurology Pc, Providence Medical Institute, Providence Health And Services Mt, Providence Health And Services Washington, Providence Health And Services- Washington, Memorialcare Medical Foundation and her current practice location is 17360 Brookhurst Street, Fountain Valley, California. You can reach out to her office (for appointments etc.) via phone at (877) 844-0012.

Dr Mimi Shishou Lee is licensed to practice in California (license number A130577) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164684973.

Contact Information

Dr Mimi Shishou Lee, MD
17360 Brookhurst Street,
Fountain Valley, CA 92708-3720
(877) 844-0012
(714) 665-4680

Map and Direction




Physician's Profile

Full NameDr Mimi Shishou Lee
GenderFemale
SpecialityNeurology
Experience17 Years
Location17360 Brookhurst Street, Fountain Valley, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mimi Shishou Lee graduated from medical school in 2007
  NPI Data:
  • NPI Number: 1164684973
  • Provider Enumeration Date: 07/02/2008
  • Last Update Date: 07/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4587883475
  • Enrollment ID: I20140908001279

Medical Identifiers

Medical identifiers for Dr Mimi Shishou Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164684973NPI-NPPES
1164684973OtherCANPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology A130577 (California)Primary
2084N0400XPsychiatry & Neurology - Neurology MD60963884 (Washington)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorialcare Orange Coast Medical CenterFountain valley, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Washington0345139929694
Providence Saint Johns Medical Foundation0840548624273
Providence Health And Services - Washington2860552973228
Cep America - Neurology Pc397187150054
Providence Medical Institute5991609737293
Providence Health And Services Mt6608786306285
Providence Health And Services Washington6709782600387
Providence Health And Services- Washington8325100480424
Memorialcare Medical Foundation8729277314384

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 Mimi Shishou Lee allows following entities to bill medicare on her behalf.
Entity NameCounty Of Ventura
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629167457
PECOS PAC ID: 7911810171
Enrollment ID: O20031112000587
Entity NameProvidence Medical Institute
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417915760
PECOS PAC ID: 5991609737
Enrollment ID: O20031121000910
Entity NameSutter Bay Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013950807
PECOS PAC ID: 4284538778
Enrollment ID: O20031125000909
Entity NameSouthern California Hospitalist Network Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790880458
PECOS PAC ID: 8921990110
Enrollment ID: O20040324001749
Entity NameEmergency And Acute Care Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734
Entity NameUsc Care Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902846306
PECOS PAC ID: 0446157747
Enrollment ID: O20050512000412
Entity NameMemorialcare Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205167350
PECOS PAC ID: 8729277314
Enrollment ID: O20110113000219
Entity NameCep America - Neurology Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225569346
PECOS PAC ID: 3971871500
Enrollment ID: O20170622001181
Entity NameProvidence Saint Johns Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518438712
PECOS PAC ID: 0840548624
Enrollment ID: O20180810000904
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174744304
PECOS PAC ID: 6709782600
Enrollment ID: O20190122000790
Entity NameProvidence Health & Services Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194099390
PECOS PAC ID: 0345139929
Enrollment ID: O20190124002741
Entity NameProvidence Health & Services- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124270715
PECOS PAC ID: 8325100480
Enrollment ID: O20190204000924
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164623401
PECOS PAC ID: 0648183608
Enrollment ID: O20190208002324
Entity NameProvidence Health & Services- Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093956278
PECOS PAC ID: 1557408176
Enrollment ID: O20190211001543
Entity NameProvidence Health & Services - Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922259738
PECOS PAC ID: 2860552973
Enrollment ID: O20190503002359
Entity NameProvidence Health & Services Mt
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215222617
PECOS PAC ID: 6608786306
Enrollment ID: O20190508002635
Entity NameSwedish Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689612954
PECOS PAC ID: 0244138196
Enrollment ID: O20220825001699

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 Mimi Shishou 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 Mimi Shishou Lee, MD
17360 Brookhurst Street,
Fountain Valley, CA 92708-3720

Ph: (877) 844-0012		Dr Mimi Shishou Lee, MD
17360 Brookhurst Street,
Fountain Valley, CA 92708-3720

Ph: (877) 844-0012

Reviews and Comments


Psychiatry & Neurology Doctors in Fountain Valley, CA

Kong Truong, M.D.
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Practice Location: 9940 Talbert Ave, Suite 204, Fountain Valley, CA 92708
Phone: 714-378-5635    
Dr. William Mac Young, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 11770 Warner Ave, Suite 226, Fountain Valley, CA 92708
Phone: 714-241-8560    Fax: 714-241-8576
Dr. Leonid Izevich Groysman, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 17360 Brookhurst St., Fountain Valley, CA 92708
Phone: 877-844-0012    Fax: 714-665-4680
Dr. Renuka Narain Patel, M.D.
Psychiatry & Neurology
Medicare: Not Enrolled in Medicare
Practice Location: 18837 Brookhurst St Ste 110, Fountain Valley, CA 92708
Phone: 314-246-0394    
Mohammad Reza Hajighasemi-ossareh, MD
Psychiatry & Neurology
Medicare: Accepting Medicare Assignments
Practice Location: 17360 Brookhurst Street, Fountain Valley, CA 92708
Phone: 877-844-0012    Fax: 714-665-4680
Dr. Abdullah Ibish, MD
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 17360 Brookhurst St, Fountain Valley, CA 92708
Phone: 662-772-4000    Fax: 901-227-3206

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.