Miss Ji Y Lee, PA-C is a medicare enrolled "Physician Assistant" in Longs, South Carolina. Her current practice location is
2237 Highway 9 E, Longs, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(877) 231-3376.
Miss Ji Y Lee is licensed to practice in South Carolina (license number MPA.5161) 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 1326682576.
Provider's Profile
Full Name | Miss Ji Y Lee |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2237 Highway 9 E, Longs, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326682576
- Provider Enumeration Date: 10/31/2019
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810393428
- Enrollment ID: I20210908000186
Medical Identifiers
Medical identifiers for Miss Ji Y Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326682576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 0010-11435 (North Carolina) | Secondary |
363A00000X | Physician Assistant | MPA.5161 (South Carolina) | Primary |
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. Miss Ji Y 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 |
Miss Ji Y Lee, PA-C 1306 Concourse Dr Ste 201, Linthicum Heights, MD 21090-1033 Ph: () - | Miss Ji Y Lee, PA-C 2237 Highway 9 E, Longs, SC 29568-5701 Ph: (877) 231-3376 |
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