Soo G Lee, MD is a medicare enrolled "Internal Medicine" physician in Closter, New Jersey. She went to Temple University School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Medical Associates Of Englewood Pc and her current practice location is
15 Vervalen St, Closter, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 784-3600.
Soo G Lee is licensed to practice in New Jersey (license number 25MA07426600) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1679508048.
Physician's Profile
| Full Name | Soo G Lee |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 26 Years |
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| Location | 15 Vervalen St, Closter, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Soo G Lee attended and graduated from Temple University School Of Medicine in 1998
NPI Data:
- NPI Number: 1679508048
- Provider Enumeration Date: 07/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9830002047
- Enrollment ID: I20031112000368
Medical Identifiers
Medical identifiers for Soo G Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679508048 | NPI | - | NPPES |
| 9116508 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 25MA07426600 (New Jersey) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Medical Associates Of Englewood Pc | 1355512252 | 526 |
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. Soo G Lee allows following entities to bill medicare on her behalf.
| Entity Name | Medical Associates Of Englewood Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952681918
PECOS PAC ID: 1355512252
Enrollment ID: O20110927000020 |
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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. Soo G 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 |
|---|
Soo G Lee, MD
645 Westwood Ave Fl 2,
Rivervale, NJ 07675-6238
Ph: (201) 358-6774 | Soo G Lee, MD
15 Vervalen St,
Closter, NJ 07624-2635
Ph: (201) 784-3600 |
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