Ji Youn Lee, in Los Angeles, CA - Medicare Nurse Practitioner

Ji Youn Lee, is a medicare enrolled "Nurse Practitioner - Primary Care" in Los Angeles, California. Her current practice location is 501 S Oxford Ave Apt 17, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (213) 505-7667.

Ji Youn Lee is licensed to practice in California (license number 95006184) 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 1912435553.

Contact Information

	Ji Youn Lee,
	501 S Oxford Ave Apt 17, Los Angeles, CA 90020-4228
	(213) 505-7667
	Not Available

Map and Direction

Provider's Profile

Full Name	Ji Youn Lee
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	501 S Oxford Ave Apt 17, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912435553
Provider Enumeration Date: 05/26/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 2466869516
Enrollment ID: I20210407002684

Medical Identifiers

Medical identifiers for Ji Youn Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912435553	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95006184 (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. Ji Youn Lee allows following entities to bill medicare on her behalf.

Entity Name	Kwang He Won Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699232454 PECOS PAC ID: 0143630590 Enrollment ID: O20201113001406

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. Ji Youn 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
Ji Youn Lee, 501 S Oxford Ave Apt 17, Los Angeles, CA 90020-4228 Ph: (213) 505-7667	Ji Youn Lee, 501 S Oxford Ave Apt 17, Los Angeles, CA 90020-4228 Ph: (213) 505-7667

Reviews and Comments

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Ji Youn Lee, - Medicare Nurse Practitioner in Los Angeles, CA