Kimberly Donghee Lee, NP-C in La Mesa, CA - Medicare Nurse Practitioner

Kimberly Donghee Lee, NP-C is a medicare enrolled "Nurse Practitioner" in La Mesa, California. Her current practice location is 8860 Center Dr Ste 400, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 229-1995.

Kimberly Donghee Lee is licensed to practice in California (license number 95002694) 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 1578948089.

Contact Information

	Kimberly Donghee Lee, NP-C
	8860 Center Dr Ste 400, La Mesa, CA 91942-7003
	(619) 229-1995
	(619) 229-1109

Map and Direction

Provider's Profile

Full Name	Kimberly Donghee Lee
Gender	Female
Speciality	Nurse Practitioner
Location	8860 Center Dr Ste 400, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578948089
Provider Enumeration Date: 07/26/2015
Last Update Date: 02/28/2019

Medicare PECOS Information:

PECOS PAC ID: 6103126800
Enrollment ID: I20180124002945

Medical Identifiers

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

Identifier	Type	State	Issuer
1578948089	NPI	-	NPPES
724057	Other	CA	CA LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95002694 (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. Kimberly Donghee Lee allows following entities to bill medicare on her behalf.

Entity Name	San Diego Comprehensive Pain Management Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225358609 PECOS PAC ID: 3779577713 Enrollment ID: O20040412001737

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. Kimberly Donghee 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
Kimberly Donghee Lee, NP-C 8860 Center Dr Ste 400, La Mesa, CA 91942-7003 Ph: (619) 229-1995	Kimberly Donghee Lee, NP-C 8860 Center Dr Ste 400, La Mesa, CA 91942-7003 Ph: (619) 229-1995

Reviews and Comments

Nurse Practitioner Nurses in La Mesa, CA

Miss April Julia Brewster, PMHNP-BC, APRN, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-296-6182
Wendy M Alva, CPNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 360, La Mesa, CA 91942 Phone: 858-279-1223
Farhana Maswood, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5332 Jackson Dr, La Mesa, CA 91942 Phone: 619-303-0933
Hoda Melissa Kashikar, RN, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy, Suite 360, La Mesa, CA 91942 Phone: 619-460-2700
Chelsea Provenzano, MSN, FNP- C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8851 Center Dr Ste 408, La Mesa, CA 91942 Phone: 619-583-1174 Fax: 619-583-4609
Hannah Bradley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5111 Garfield St Ste B, La Mesa, CA 91941 Phone: 619-698-9375
Maja Ceranic, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8665 La Mesa Blvd, La Mesa, CA 91942 Phone: 619-465-0702

Kimberly Donghee Lee, NP-C - Medicare Nurse Practitioner in La Mesa, CA