Kookjae Lee, MD in Baltimore, MD - Medicare Pediatrics

Kookjae Lee, MD is a medicare enrolled "Pediatrics" physician in Baltimore, Maryland. His current practice location is 4940 Eastern Ave, Baltimore, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 550-5568.

Kookjae Lee is licensed to practice in Maryland (license number D98357) 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 1912359365.

Contact Information

	Kookjae Lee, MD
	4940 Eastern Ave, Baltimore, MD 21224-2735
	(410) 550-5568
	Not Available

Map and Direction

Physician's Profile

Full Name	Kookjae Lee
Gender	Male
Speciality	Pediatrics
Location	4940 Eastern Ave, Baltimore, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912359365
Provider Enumeration Date: 07/11/2016
Last Update Date: 01/22/2024

Medicare PECOS Information:

PECOS PAC ID: 8426482225
Enrollment ID: I20200103000960

Medical Identifiers

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

Identifier	Type	State	Issuer
1912359365	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	D98357 (Maryland)	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. Kookjae Lee allows following entities to bill medicare on his behalf.

Entity Name	Kapiolani Medical Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124071014 PECOS PAC ID: 0648183988 Enrollment ID: O20031111000895

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. Kookjae 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
Kookjae Lee, MD 6201 Greenleigh Ave, Middle River, MD 21220-2004 Ph: (410) 933-6423	Kookjae Lee, MD 4940 Eastern Ave, Baltimore, MD 21224-2735 Ph: (410) 550-5568

Reviews and Comments

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Adam J Spanier, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 300 Armory Pl, Baltimore, MD 21201 Phone: 410-225-8780 Fax: 410-225-8766
Milagritos D Tapia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-6749 Fax: 410-328-6136

Kookjae Lee, MD - Medicare Pediatrics in Baltimore, MD