Samuel Siwon Lee, MD, MSC - Medicare Emergency Medicine in Dallas, TX

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Samuel Siwon Lee, MD, MSC is a medicare enrolled "Emergency Medicine" physician in Dallas, Texas. He went to Emory University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Travis County Emergency Physicians Pa and his current practice location is 5323 Harry Hines Blvd, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 590-8000.

Samuel Siwon Lee is licensed to practice in Texas (license number R5282) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1871947143.

Contact Information

Samuel Siwon Lee, MD, MSC
5323 Harry Hines Blvd,
Dallas, TX 75390-7201
(214) 590-8000
Not Available

Map and Direction




Physician's Profile

Full NameSamuel Siwon Lee
GenderMale
SpecialityEmergency Medicine
Experience8 Years
Location5323 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samuel Siwon Lee attended and graduated from Emory University School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1871947143
  • Provider Enumeration Date: 04/22/2016
  • Last Update Date: 03/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5890057236
  • Enrollment ID: I20180322000840

Medical Identifiers

Medical identifiers for Samuel Siwon Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871947143NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine R5282 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Houston Methodist San Jacinto HospitalBaytown, TXHospital
Houston Methodist West HospitalHouston, TXHospital
Houston Methodist St John HospitalNassau bay, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Travis County Emergency Physicians Pa0840289468250

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. Samuel Siwon Lee allows following entities to bill medicare on his behalf.
Entity NameTravis County Emergency Physicians Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962440933
PECOS PAC ID: 0840289468
Enrollment ID: O20040510000492
Entity NameEmergigroup Physician Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962456459
PECOS PAC ID: 0941283238
Enrollment ID: O20041004000857
Entity NameConcord Medical Group Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531
Entity NameKirby Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568699445
PECOS PAC ID: 7517010093
Enrollment ID: O20090730000543
Entity NameWest Houston Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568763290
PECOS PAC ID: 3476738030
Enrollment ID: O20110425000536
Entity NameSan Jacinto Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205225299
PECOS PAC ID: 7719203629
Enrollment ID: O20150311000793

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. Samuel Siwon 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 AddressPractice Location Address
Samuel Siwon Lee, MD, MSC
5323 Harry Hines Blvd,
Dallas, TX 75390-7201

Ph: () -		Samuel Siwon Lee, MD, MSC
5323 Harry Hines Blvd,
Dallas, TX 75390-7201

Ph: (214) 590-8000

Reviews and Comments


Emergency Medicine Doctors in Dallas, TX

Bradford Stager Commons, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235
Phone: 214-590-8058    
Dr. Sandeep Guttikonda, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390
Phone: 214-648-3916    Fax: 214-648-8423
Jeffrey Szot, M.D.
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Practice Location: 7777 Forest Ln, Dallas, TX 75230
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Matthew Tice, MD
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Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251
Phone: 214-217-1911    
Dr. Renjie Michael Li, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 13737 Noel Rd, Dallas, TX 75240
Phone: 214-217-1912    
Dr. Christian Brewer, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7777 Forest Ln, Dallas, TX 75230
Phone: 972-566-7000    
James Pierre D'etienne, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3500 Gaston Ave, Dallas, TX 75246
Phone: 214-820-2505    Fax: 214-712-2487

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.