Jae W Lee, MD in Los Angeles, CA - Medicare General Practice

Jae W Lee, MD is a medicare enrolled "General Practice" physician in Los Angeles, California. His current practice location is 3780 Wilshire Blvd, 6th Fl, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 739-1416.

Jae W Lee is licensed to practice in California (license number A032086) 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 1639265143.

Contact Information

	Jae W Lee, MD
	3780 Wilshire Blvd, 6th Fl, Los Angeles, CA 90010-2805
	(213) 739-1416
	Not Available

Map and Direction

Physician's Profile

Full Name	Jae W Lee
Gender	Male
Speciality	General Practice
Location	3780 Wilshire Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639265143
Provider Enumeration Date: 10/04/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6901995356
Enrollment ID: I20071207000585

Medical Identifiers

Medical identifiers for Jae W Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639265143	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	A032086 (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. Jae W Lee allows following entities to bill medicare on his behalf.

Entity Name	Kwang He Won Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699232454 PECOS PAC ID: 0143630590 Enrollment ID: O20201113001406

Entity Name	Industrial Medical Services & Urgent Care Incorporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598096315 PECOS PAC ID: 5395107437 Enrollment ID: O20230822000108

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. Jae W 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
Jae W Lee, MD 3780 Wilshire Blvd, 6th Fl, Los Angeles, CA 90010-2805 Ph: (213) 739-1416	Jae W Lee, MD 3780 Wilshire Blvd, 6th Fl, Los Angeles, CA 90010-2805 Ph: (213) 739-1416

Reviews and Comments

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Jae W Lee, MD - Medicare General Practice in Los Angeles, CA