Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC in Ellicott City, MD

Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Ellicott City, Maryland. His current practice location is 8005 High Castle Rd, Ellicott City, Maryland. You can reach out to his office (for appointments etc.) via phone at (443) 848-0279.

Dr Caleb Daekyu Lee is licensed to practice in Maryland (license number R253173) 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 1649413758.

Contact Information

	Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC
	8005 High Castle Rd, Ellicott City, MD 21043-5517
	(443) 848-0279
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Caleb Daekyu Lee
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8005 High Castle Rd, Ellicott City, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649413758
Provider Enumeration Date: 04/20/2009
Last Update Date: 01/06/2025

Medicare PECOS Information:

PECOS PAC ID: 5597298406
Enrollment ID: I20241031000258

Medical Identifiers

Medical identifiers for Dr Caleb Daekyu Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649413758	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	R253173 (Maryland)	Secondary
171100000X	Acupuncturist	U01817 (Maryland)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R253173 (Maryland)	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. Dr Caleb Daekyu Lee allows following entities to bill medicare on his behalf.

Entity Name	Synergy Therapeutics
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639877103 PECOS PAC ID: 5092174938 Enrollment ID: O20230710002680

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. Dr Caleb Daekyu 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
Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC 8005 High Castle Rd, Ellicott City, MD 21043-5517 Ph: (443) 848-0279	Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC 8005 High Castle Rd, Ellicott City, MD 21043-5517 Ph: (443) 848-0279

Reviews and Comments

Nurse Practitioner Nurses in Ellicott City, MD

Susan Marie L'heureux, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3218 Greenway Dr, Ellicott City, MD 21042 Phone: 410-294-1062
Mrs. Lisa Ann Uhl, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3691 Park Ave Ste 9, Ellicott City, MD 21043 Phone: 301-279-2779
Ms. Helen Lesada-lasam Cruz, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2635 Kidwell Pl, Ellicott City, MD 21043 Phone: 410-504-2453
Mrs. Elizabeth Whitfield, MSN, CRNP, MPH, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Ellicott City, MD 21043 Phone: 410-203-1700
Dr. Adebola O Adeleye, DNP, APN-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4390 Montgomery Rd, Attn: Minuteclinic Credentialing 2100, Ellicott City, MD 21043 Phone: 410-203-1700
Glory Tataw, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3203a Corporate Ct, Ellicott City, MD 21042 Phone: 410-205-2458
Wafa Nachifa, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7668 Blueberry Hill Ln, Ellicott City, MD 21043 Phone: 240-517-1179

Dr Caleb Daekyu Lee, LAC,OMD, PMHNP-BC - Medicare Nurse Practitioner in Ellicott City, MD