Mi S Lee, is a medicare enrolled "Nurse Practitioner - Adult Health" in Old Tappan, New Jersey. She graduated from nursing school in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eickhoff Chiropractic Family Wellness Center and her current practice location is
19 Spring Hollow Rd, Old Tappan, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 750-8682.
Mi S Lee is licensed to practice in New Jersey (license number 26NJ00329200) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1831450337.
Provider's Profile
| Full Name | Mi S Lee |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 13 Years |
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| Location | 19 Spring Hollow Rd, Old Tappan, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mi S Lee graduated from nursing school in 2011
NPI Data:
- NPI Number: 1831450337
- Provider Enumeration Date: 05/31/2012
- Last Update Date: 05/31/2012
Medicare PECOS Information:
- PECOS PAC ID: 3779877972
- Enrollment ID: I20160811000238
Medical Identifiers
Medical identifiers for Mi S Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831450337 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 26NJ00329200 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Eickhoff Chiropractic Family Wellness Center | 5294763280 | 6 |
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. Mi S Lee allows following entities to bill medicare on her behalf.
| Entity Name | Eickhoff Chiropractic Family Wellness Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538213533
PECOS PAC ID: 5294763280
Enrollment ID: O20050909000119 |
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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. Mi S 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 |
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Mi S Lee,
19 Spring Hollow Rd,
Old Tappan, NJ 07675-7471
Ph: (201) 750-8682 | Mi S Lee,
19 Spring Hollow Rd,
Old Tappan, NJ 07675-7471
Ph: (201) 750-8682 |
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