Sun Lee, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Gardena, California. His current practice location is
14165 Purche Ave, Gardena, California. You can reach out to his office (for appointments etc.) via phone at
(310) 323-4570.
Sun Lee is licensed to practice in California (license number 20A19677) 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 1215432513.
Physician's Profile
| Full Name | Sun Lee |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 14165 Purche Ave, Gardena, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1215432513
- Provider Enumeration Date: 03/28/2018
- Last Update Date: 10/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618346214
- Enrollment ID: I20221202001392
Medical Identifiers
Medical identifiers for Sun Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215432513 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 20A19677 (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. Sun Lee allows following entities to bill medicare on his behalf.
| Entity Name | Michael Decker Do, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528410842
PECOS PAC ID: 9830481746
Enrollment ID: O20160714000122 |
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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. Sun 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 |
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Sun Lee, DO
2839 Maricopa St,
Torrance, CA 90503-5146
Ph: (818) 943-7633 | Sun Lee, DO
14165 Purche Ave,
Gardena, CA 90249-2824
Ph: (310) 323-4570 |
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