Shimwoo Lee, MD in Los Angeles, CA

Shimwoo Lee, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Los Angeles, California. Her current practice location is 4650 W Sunset Blvd, Mailstop #81, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (209) 247-2467.

Shimwoo Lee is licensed to practice in California (license number A158159) 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 1982135315.

Contact Information

	Shimwoo Lee, MD
	4650 W Sunset Blvd, Mailstop #81, Los Angeles, CA 90027-6062
	(209) 247-2467
	Not Available

Map and Direction

Physician's Profile

Full Name	Shimwoo Lee
Gender	Female
Speciality	Radiology - Vascular & Interventional Radiology
Location	4650 W Sunset Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982135315
Provider Enumeration Date: 03/27/2017
Last Update Date: 05/17/2023

Medicare PECOS Information:

PECOS PAC ID: 2264863331
Enrollment ID: I20200506001443

Medical Identifiers

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

Identifier	Type	State	Issuer
1982135315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	A158159 (California)	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. Shimwoo Lee allows following entities to bill medicare on her behalf.

Entity Name	County Of Los Angeles
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851363188 PECOS PAC ID: 1850296534 Enrollment ID: O20031204001218

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

Entity Name	Martin Luther King Jr Community Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356899777 PECOS PAC ID: 8628359502 Enrollment ID: O20170109001311

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. Shimwoo 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
Shimwoo Lee, MD 4650 W Sunset Blvd, Mailstop #81, Los Angeles, CA 90027-6062 Ph: () -	Shimwoo Lee, MD 4650 W Sunset Blvd, Mailstop #81, Los Angeles, CA 90027-6062 Ph: (209) 247-2467

Reviews and Comments

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Shimwoo Lee, MD - Medicare Radiology in Los Angeles, CA