Jae Eun Lee, | |
201 Park St, Bowling Green, KY 42101-1708 | |
(270) 783-3315 | |
(270) 783-3774 |
Full Name | Jae Eun Lee |
---|---|
Gender | Female |
Speciality | Neurology |
Experience | 11 Years |
Location | 201 Park St, Bowling Green, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346622792 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 65547 (Minnesota) | Secondary |
2084N0400X | Psychiatry & Neurology - Neurology | 54655 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lifeline Health Care Of Warren | Bowling green, KY | Home health agency |
The Medical Center (bowling Green) | Bowling green, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gilbert Barbee Moore And Mcilvoy Psc | 4082511167 | 228 |
Commonwealth Health Corporation Inc | 5496667628 | 238 |
Bowling Green Warren County Community Hospital Corporation | 7719899947 | 39 |
Entity Name | Gilbert Barbee Moore & Mcilvoy Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114948288 PECOS PAC ID: 4082511167 Enrollment ID: O20031217000136 |
Entity Name | Bowling Green Warren County Community Hospital Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942990767 PECOS PAC ID: 7719899947 Enrollment ID: O20230703000877 |
Mailing Address | Practice Location Address |
---|---|
Jae Eun Lee, 201 Park St, Bowling Green, KY 42101-1708 Ph: (270) 781-5111 | Jae Eun Lee, 201 Park St, Bowling Green, KY 42101-1708 Ph: (270) 783-3315 |
Dr. David Tamayo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 707 E Main St, Bowling Green, KY 42101 Phone: 270-901-5000 Fax: 270-842-6553 | |
Dr. Jose Elavath Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 380 Suwannee Trail Street, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-6553 | |
Dr. Jianhua Zhu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-781-5111 Fax: 270-780-0483 | |
Hareem Arif, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 250 Park St, Bowling Green, KY 42101 Phone: 270-780-2693 Fax: 270-780-2691 | |
Mrinal Mullick, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 350 Park St, Suite 204, Bowling Green, KY 42101 Phone: 270-843-5103 Fax: 270-843-5104 | |
Dr. Max Calvin Kinnaman Jr., D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268 |