Jaeyop Lee, MD, PHD in New York, NY - Medicare General Practice

Jaeyop Lee, MD, PHD is a medicare enrolled "General Practice" physician in New York, New York. His current practice location is 1275 York Ave, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 639-2000.

Jaeyop Lee is licensed to practice in New York (license number 310062-01) 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 1174186597.

Contact Information

	Jaeyop Lee, MD, PHD
	1275 York Ave, New York, NY 10065-6007
	(212) 639-2000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jaeyop Lee
Gender	Male
Speciality	General Practice
Location	1275 York Ave, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174186597
Provider Enumeration Date: 04/22/2019
Last Update Date: 06/01/2023

Medicare PECOS Information:

PECOS PAC ID: 8123356706
Enrollment ID: I20190820003400

Medical Identifiers

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

Identifier	Type	State	Issuer
1174186597	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	310062-01 (New York)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Jaeyop 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
Jaeyop Lee, MD, PHD 622 W 168th St, New York, NY 10032-3720 Ph: (212) 305-6262	Jaeyop Lee, MD, PHD 1275 York Ave, New York, NY 10065-6007 Ph: (212) 639-2000

Reviews and Comments

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Jaeyop Lee, MD, PHD - Medicare General Practice in New York, NY