Dr Samuel Theodore Lee, MD in Green Bay, WI

Dr Samuel Theodore Lee, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Green Bay, Wisconsin. His current practice location is 2845 Greenbrier Rd, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 288-8000.

Dr Samuel Theodore Lee is licensed to practice in Wisconsin (license number 22495) 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 1184989436.

Contact Information

	Dr Samuel Theodore Lee, MD
	2845 Greenbrier Rd, Green Bay, WI 54311-6519
	(920) 288-8000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Samuel Theodore Lee
Gender	Male
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	2845 Greenbrier Rd, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184989436
Provider Enumeration Date: 07/11/2012
Last Update Date: 12/05/2022

Medicare PECOS Information:

PECOS PAC ID: 5496076861
Enrollment ID: I20220626000043

Medical Identifiers

Medical identifiers for Dr Samuel Theodore Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184989436	NPI	-	NPPES
100203539	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	125.061701 (Illinois)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	2015016128 (Missouri)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	22495 (Wisconsin)	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 Samuel Theodore Lee allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Baycare Aurora Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255387726 PECOS PAC ID: 0244130557 Enrollment ID: O20051012000579

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 Samuel Theodore 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
Dr Samuel Theodore Lee, MD 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () -	Dr Samuel Theodore Lee, MD 2845 Greenbrier Rd, Green Bay, WI 54311-6519 Ph: (920) 288-8000

Reviews and Comments

Pediatrics Doctors in Green Bay, WI

Mary Lynn Bartel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 835 S Van Buren St, Room 1041, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-496-4705
Kathleen Marie Barkow, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1319
Kristina Ann Houn, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2793 Lineville Rd, Green Bay, WI 54313 Phone: 920-496-4700
George E Whetmore, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1821 S Webster Ave, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-436-1319
Ralph Joseph Vardis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-496-4700 Fax: 920-433-8569
Dr. Robert Michael Rock Jr., MD Pediatrics Medicare: Medicare Enrolled Practice Location: 835 S. Vanburen St., Green Bay, WI 54301 Phone: 920-433-8360 Fax: 920-431-3163
James F Winston, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 835 S Van Buren St, Green Bay, WI 54301 Phone: 920-433-8360

Dr Samuel Theodore Lee, MD - Medicare Pediatrics in Green Bay, WI