Kangweon Lee, FNP-BC | |
63 Moraine St Unit 23, Belmont, MA 02478-5056 | |
(219) 851-2625 | |
Not Available |
Full Name | Kangweon Lee |
---|---|
Gender | Male |
Speciality | Nurse Practitioner |
Location | 63 Moraine St Unit 23, Belmont, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720673544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN2340947 (Massachusetts) | Secondary |
363L00000X | Nurse Practitioner | RN2340947 (Massachusetts) | Primary |
Entity Name | Massachusetts Post Acute Medical Services 1 Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699204503 PECOS PAC ID: 5890069041 Enrollment ID: O20170927000151 |
Entity Name | Ma Pacs 2 Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265918791 PECOS PAC ID: 4284983628 Enrollment ID: O20180820000495 |
Entity Name | Molina Care Connections Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407243223 PECOS PAC ID: 5799062881 Enrollment ID: O20220323001711 |
Mailing Address | Practice Location Address |
---|---|
Kangweon Lee, FNP-BC 63 Moraine St Unit 23, Belmont, MA 02478-5056 Ph: (219) 851-2625 | Kangweon Lee, FNP-BC 63 Moraine St Unit 23, Belmont, MA 02478-5056 Ph: (219) 851-2625 |
Teresa Rose Henderson, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 115 Mill St, Belmont, MA 02478 Phone: 617-855-2356 | |
Rebecka Marie Evans, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9 Alexander Ave, Belmont, MA 02478 Phone: 617-249-4344 | |
Patricia M Norris, APRN, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Mill St, Belmont, MA 02478 Phone: 617-855-2352 | |
Pushpa Gaulee, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Mill St, Belmont, MA 02478 Phone: 857-636-8410 | |
Susan Maria Cullaty-purvis, DNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Mill St, Belmont, MA 02478 Phone: 617-855-2000 Fax: 617-855-3826 | |
Mr. Edward Barton, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Mill St, Belmont, MA 02478 Phone: 617-855-2564 | |
Angela Benirschke, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 Mill St, Belmont, MA 02478 Phone: 617-876-0643 Fax: 617-354-0340 |