Youngchan Lee, is a medicare enrolled "Physical Therapist" provider in Jacksonville, Florida. His current practice location is
3591 Kernan Blvd S Apt 816, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at
(808) 258-5530.
Youngchan Lee is licensed to practice in Florida (license number PT41344) 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 1053962936.
Healthcare Provider's Profile
| Full Name | Youngchan Lee |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 3591 Kernan Blvd S Apt 816, Jacksonville, Florida |
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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: 1053962936
- Provider Enumeration Date: 09/23/2019
- Last Update Date: 05/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 1153763396
- Enrollment ID: I20240520003616
Medical Identifiers
Medical identifiers for Youngchan Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053962936 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | AC18612 (California) | Secondary |
| 225100000X | Physical Therapist | PT41344 (Florida) | 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. Youngchan Lee allows following entities to bill medicare on his behalf.
| Provider Name | H2 Rehabilitation Services Of Florida Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1275285926
PECOS PAC ID: 3971411851
Enrollment ID: O20220709000930 |
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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. Youngchan 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 |
|---|
Youngchan Lee,
3591 Kernan Blvd S Apt 816,
Jacksonville, FL 32224-4674
Ph: (808) 258-5530 | Youngchan Lee,
3591 Kernan Blvd S Apt 816,
Jacksonville, FL 32224-4674
Ph: (808) 258-5530 |
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