Joon Woo Lee, | |
3903 Indianapolis Blvd, East Chicago, IN 46312-2555 | |
(219) 392-6096 | |
(219) 392-6998 |
Full Name | Joon Woo Lee |
---|---|
Gender | Male |
Speciality | Psychiatry |
Experience | 22 Years |
Location | 3903 Indianapolis Blvd, East Chicago, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609397066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 01085104A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southlake Community Mental Health Center Inc | 5991600355 | 39 |
Entity Name | Southlake Community Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821081290 PECOS PAC ID: 5991600355 Enrollment ID: O20031201000049 |
Mailing Address | Practice Location Address |
---|---|
Joon Woo Lee, 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 392-6096 | Joon Woo Lee, 3903 Indianapolis Blvd, East Chicago, IN 46312-2555 Ph: (219) 392-6096 |
Farzana A Khan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2010 E Columbus Dr, East Chicago, IN 46312 Phone: 219-397-6369 | |
Prakash Varghese, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 | |
Lolita O Ang, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-3998 | |
Graciela E Hernandez, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4320 Fir St Ste 206, East Chicago, IN 46312 Phone: 219-397-2929 Fax: 219-397-2929 | |
Epifanio Gloria Sandoval, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3903 Indianapolis Blvd, East Chicago, IN 46312 Phone: 219-398-7050 Fax: 219-392-6998 | |
Dr. Stephane Bernard Degraff, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4320 Fir St Ste 4141, East Chicago, IN 46312 Phone: 219-392-7466 Fax: 219-392-7470 |