Jae Young Lee, MD is a medicare enrolled "Internal Medicine" physician in Marine City, Michigan. He graduated from medical school in 1968 and has 56 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
130 Washington St, Marine City, Michigan. You can reach out to his office (for appointments etc.) via phone at
(810) 765-8844.
Jae Young Lee is licensed to practice in Michigan (license number 4301033400) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104826973.
Physician's Profile
Full Name | Jae Young Lee |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 56 Years |
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Location | 130 Washington St, Marine City, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jae Young Lee graduated from medical school in 1968
NPI Data:
- NPI Number: 1104826973
- Provider Enumeration Date: 07/22/2005
- Last Update Date: 01/14/2011
Medicare PECOS Information:
- PECOS PAC ID: 5991993552
- Enrollment ID: I20110115000053
Medical Identifiers
Medical identifiers for Jae Young Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104826973 | NPI | - | NPPES |
1068960 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 4301033400 (Michigan) | 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 Young Lee allows following entities to bill medicare on his behalf.
Entity Name | Jae Young Lee Md Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1811155039 PECOS PAC ID: 1355539917 Enrollment ID: O20101223000065 |
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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 Young 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 Young Lee, MD 130 Washington St, Marine City, MI 48039-1680 Ph: (810) 765-8844 | Jae Young Lee, MD 130 Washington St, Marine City, MI 48039-1680 Ph: (810) 765-8844 |
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