Jongserk Robert Lee, DO, MS in Modesto, CA - Medicare Psychiatry & Neurology

Jongserk Robert Lee, DO, MS is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Modesto, California. His current practice location is 4601 Dale Rd, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 735-5000.

Jongserk Robert Lee is licensed to practice in California (license number 17556) 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 1861999005.

Contact Information

	Jongserk Robert Lee, DO, MS
	4601 Dale Rd, Modesto, CA 95356-9718
	(209) 735-5000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jongserk Robert Lee
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	4601 Dale Rd, Modesto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861999005
Provider Enumeration Date: 04/12/2018
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 9638550502
Enrollment ID: I20231205002775

Medical Identifiers

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

Identifier	Type	State	Issuer
1861999005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	17556 (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. Jongserk Robert Lee allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jongserk Robert 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
Jongserk Robert Lee, DO, MS 1000 W Carson St # 432, Torrance, CA 90502-2059 Ph: (424) 306-6520	Jongserk Robert Lee, DO, MS 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-5000

Reviews and Comments

Psychiatry & Neurology Doctors in Modesto, CA

Jonathan Kistler, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1001 Needham St, Modesto, CA 95354 Phone: 209-569-0373 Fax: 209-529-8519
Tonya F. Fuller, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-550-4785
Kairav Rameshchandra Shah, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1524 Mchenry Ave Ste 445, Modesto, CA 95350 Phone: 209-571-1693
Dr. Jaaneali Mehdi, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1501 Claus Rd Ste F, Modesto, CA 95355 Phone: 095-576-3102
Vinita Wadhwani, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1400 Celeste Drive, Crestwood Mannor, Modesto, CA 95355 Phone: 916-422-5856 Fax: 916-422-2307
Nusrat Malik, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1501 Claus Rd, Dbhc, Modesto, CA 95355 Phone: 209-557-6300
Antoun C. Manganas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1501 Claus Rd, Modesto, CA 95355 Phone: 209-524-9401

Jongserk Robert Lee, DO, MS - Medicare Psychiatry & Neurology in Modesto, CA