Sung Ae Lee, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Anthem, Arizona. Her current practice location is
820 W. Ravina Lane, Anthem, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 433-9904.
Sung Ae Lee is licensed to practice in Oklahoma (license number 10188) 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 1174953913.
Physician's Profile
Full Name | Sung Ae Lee |
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Gender | Female |
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Speciality | Radiology - Radiation Oncology |
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Location | 820 W. Ravina Lane, Anthem, Arizona |
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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: 1174953913
- Provider Enumeration Date: 11/14/2013
- Last Update Date: 11/14/2013
Medicare PECOS Information:
- PECOS PAC ID: 3274822283
- Enrollment ID: I20160516000087
Medical Identifiers
Medical identifiers for Sung Ae Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174953913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085R0001X | Radiology - Radiation Oncology | 10188 (Oklahoma) | Primary |
2085R0001X | Radiology - Radiation Oncology | 33131 (Missouri) | Secondary |
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. Sung Ae 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 |
Sung Ae Lee, MD 820 W. Ravina Lane, Anthem, AZ 85086 Ph: (623) 433-9904 | Sung Ae Lee, MD 820 W. Ravina Lane, Anthem, AZ 85086 Ph: (623) 433-9904 |
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