Eui-dong Lee, MD is a
Surgery physician based in Paw Paw, Michigan. Eui-dong Lee is licensed to practice in Michigan (license number 4301032196) and his current practice location is 404 Hazen St, Suite 101, Paw Paw, Michigan. He can be reached at his office (for appointments etc.) via phone at
(269) 657-4407.
NPI number for Eui-dong Lee is 1861479891 and his current mailing address is 601 John St, Box 42, Kalamazoo, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861479891.
Physician's Profile
| Full Name | Eui-dong Lee |
|---|
| Gender | Male |
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| Speciality | Surgery |
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| Location | 404 Hazen St, Paw Paw, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1861479891
- Provider Enumeration Date: 12/30/2005
- Last Update Date: 09/16/2009
Medical Identifiers
Medical identifiers for Eui-dong Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1861479891 | NPI | - | NPPES |
| 700H060020 | Other | MI | BCBSM |
| 1861479891 | Medicaid | MI | |
| 104994926 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 4301032196 (Michigan) | Primary |
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. Eui-dong Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Eui-dong Lee, MD
601 John St, Box 42,
Kalamazoo, MI 49007-5341
Ph: (269) 341-7806 | Eui-dong Lee, MD
404 Hazen St, Suite 101,
Paw Paw, MI 49079-1040
Ph: (269) 657-4407 |
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