Jungeun Jay Lee, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Gloversville, New York. His current practice location is
99 E State St, Gloversville, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 389-1725.
Jungeun Jay Lee is licensed to practice in New York (license number 108212) 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 1659362671.
Physician's Profile
Full Name | Jungeun Jay Lee |
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Gender | Male |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 99 E State St, Gloversville, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659362671
- Provider Enumeration Date: 10/31/2005
- Last Update Date: 04/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 2466410550
- Enrollment ID: I20041221000438
Medical Identifiers
Medical identifiers for Jungeun Jay Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659362671 | NPI | - | NPPES |
01121535 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 108212 (New York) | Primary |
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. Jungeun Jay 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 |
Jungeun Jay Lee, MD Po Box 363, Latham, NY 12110-0363 Ph: (518) 389-1803 | Jungeun Jay Lee, MD 99 E State St, Gloversville, NY 12078-1203 Ph: (518) 389-1725 |
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