Jisoo Lee, MD in Providence, RI - Medicare Pulmonary Disease

Jisoo Lee, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Providence, Rhode Island. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Pulmonary Disease. She is a member of the group practice Newport Hospital, Brown Medicine and her current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 444-4000.

Jisoo Lee is licensed to practice in Rhode Island (license number MD16345) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962820969.

Contact Information

	Jisoo Lee, MD
	593 Eddy St, Providence, RI 02903-4923
	(401) 444-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jisoo Lee
Gender	Female
Speciality	Pulmonary Disease
Experience	10 Years
Location	593 Eddy St, Providence, Rhode Island
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jisoo Lee graduated from medical school in 2014

NPI Data:

NPI Number: 1962820969
Provider Enumeration Date: 04/07/2014
Last Update Date: 02/07/2024

Medicare PECOS Information:

PECOS PAC ID: 5395961056
Enrollment ID: I20200707001887

Medical Identifiers

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

Identifier	Type	State	Issuer
1962820969	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	MD16345 (Rhode Island)	Secondary
207R00000X	Internal Medicine	MD16345 (Rhode Island)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	MD16345 (Rhode Island)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Home & Hospice Care Of Rhode Island	Providence, RI	Hospice
Rhode Island Hospital	Providence, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Newport Hospital	0042111437	36
Brown Medicine	0446159776	212

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. Jisoo Lee allows following entities to bill medicare on her behalf.

Entity Name	Brown Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689626764 PECOS PAC ID: 0446159776 Enrollment ID: O20040219000354

Entity Name	Newport Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063632180 PECOS PAC ID: 0042111437 Enrollment ID: O20040422000696

Entity Name	The Miriam Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770520462 PECOS PAC ID: 6901796408 Enrollment ID: O20040624000947

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. Jisoo 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
Jisoo Lee, MD Dept 3010, Po Box 986524, Boston, MA 02298-6524 Ph: (401) 443-4992	Jisoo Lee, MD 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-4000

Reviews and Comments

Internal Medicine Doctors in Providence, RI

Christopher Donald Palmer, DO Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 101 Dudley St, Providence, RI 02905 Phone: 401-274-1122 Fax: 401-453-7597
Martha Catherine Trimbur, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 245 Chapman St Ste 300, Providence, RI 02905 Phone: 401-444-4741 Fax: 401-444-4445
Karl Herman, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg., Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Muhammad Baig, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Fain Bldg, Providence, RI 02906 Phone: 401-793-4489 Fax: 401-793-4047
Gary M Katzman, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 208 Collyer Street, Suite 100, Providence, RI 02904 Phone: 401-793-7191 Fax: 401-793-7200
Thomas Fairweather Crain, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4630
James Atkinson, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 164 Summit Ave, Providence, RI 02906 Phone: 401-793-4500

Jisoo Lee, MD - Medicare Pulmonary Disease in Providence, RI