Jia Wen Lee, DO | |
2850 Hog Mountain Rd Ste 101, Dacula, GA 30019-5935 | |
(770) 614-7170 | |
(770) 614-8233 |
Full Name | Jia Wen Lee |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 6 Years |
Location | 2850 Hog Mountain Rd Ste 101, Dacula, Georgia |
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 |
---|---|---|---|
1730673328 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | LL52029 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 89138 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Gwinnett Physician Group, Llc | 9133211139 | 89 |
Entity Name | Gwinnett Physician Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578574661 PECOS PAC ID: 9133211139 Enrollment ID: O20070822001035 |
Mailing Address | Practice Location Address |
---|---|
Jia Wen Lee, DO 2850 Hog Mountain Rd Ste 101, Dacula, GA 30019-5935 Ph: (770) 614-7170 | Jia Wen Lee, DO 2850 Hog Mountain Rd Ste 101, Dacula, GA 30019-5935 Ph: (770) 614-7170 |
Dr. Andrew Dold, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3625 Braselton Hwy Ste 104, Dacula, GA 30019 Phone: 678-206-2111 | |
Dr. Rami Badr Arfoosh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2075 Hamilton Creek Pkwy Ste 200, Dacula, GA 30019 Phone: 770-586-0300 Fax: 770-586-0311 | |
Zhuocheng Su, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2069 Teron Trce Ste 100, Dacula, GA 30019 Phone: 678-730-1620 Fax: 678-730-0858 | |
Dr. Rachel Elizabeth Nisbet, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2075 Hamilton Creek Pkwy Ste 200, Dacula, GA 30019 Phone: 770-586-0300 Fax: 770-586-0311 | |
Dr. Holly Davidson Corley, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3575 Braselton Hwy, Dacula, GA 30019 Phone: 770-848-5300 Fax: 770-848-5301 | |
Dr. Daren C Wannamaker, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4285 Jim Moore Rd Ste 200, Dacula, GA 30019 Phone: 770-442-1911 Fax: 770-442-0306 |