Madison Sandra Lee, PA-C is a medicare enrolled "Physician Assistant" physician in Grosse Pointe, Michigan. Her current practice location is
468 Cadieux Rd, Grosse Pointe, Michigan. You can reach out to her office (for appointments etc.) via phone at
(313) 473-6899.
Madison Sandra Lee is licensed to practice in Michigan (license number 5601011705) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942984109.
Physician's Profile
Full Name | Madison Sandra Lee |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 468 Cadieux Rd, Grosse Pointe, Michigan |
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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: 1942984109
- Provider Enumeration Date: 06/09/2023
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547791733
- Enrollment ID: I20240927003011
Medical Identifiers
Medical identifiers for Madison Sandra Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942984109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 5601011705 (Michigan) | Secondary |
208D00000X | General Practice | 5601011705 (Michigan) | Secondary |
363A00000X | Physician Assistant | 5601011705 (Michigan) | 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. Madison Sandra 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 |
Madison Sandra Lee, PA-C 26901 Beaumont Blvd Ste 3d, Southfield, MI 48033-3849 Ph: (947) 522-4352 | Madison Sandra Lee, PA-C 468 Cadieux Rd, Grosse Pointe, MI 48230-1507 Ph: (313) 473-6899 |
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