Mr Samuel Joonsang Lee, FNP-C in Berkeley, CA

Mr Samuel Joonsang Lee, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Berkeley, California. He graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Sutter Bay Medical Foundation and his current practice location is 2500 Milvia St, Berkeley, California. You can reach out to his office (for appointments etc.) via phone at (510) 204-5600.

Mr Samuel Joonsang Lee is licensed to practice in California (license number 95004858) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346790706.

Contact Information

	Mr Samuel Joonsang Lee, FNP-C
	2500 Milvia St, Berkeley, CA 94704-2636
	(510) 204-5600
	(510) 506-7722

Map and Direction

Provider's Profile

Full Name	Mr Samuel Joonsang Lee
Gender	Male
Speciality	Nurse Practitioner
Experience	8 Years
Location	2500 Milvia St, Berkeley, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Samuel Joonsang Lee graduated from nursing school in 2016

NPI Data:

NPI Number: 1346790706
Provider Enumeration Date: 10/10/2016
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3274891882
Enrollment ID: I20180102002052

Medical Identifiers

Medical identifiers for Mr Samuel Joonsang Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346790706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95040295 (California)	Secondary
207Q00000X	Family Medicine	95004858 (California)	Secondary
363L00000X	Nurse Practitioner	AP60798120 (Washington)	Secondary
363LF0000X	Nurse Practitioner - Family	95004858 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sutter Bay Medical Foundation	4284538778	2995

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. Mr Samuel Joonsang Lee allows following entities to bill medicare on his behalf.

Entity Name	Sutter Bay Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909

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. Mr Samuel Joonsang 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
Mr Samuel Joonsang Lee, FNP-C 2500 Milvia St, Berkeley, CA 94704-2636 Ph: (510) 204-5600	Mr Samuel Joonsang Lee, FNP-C 2500 Milvia St, Berkeley, CA 94704-2636 Ph: (510) 204-5600

Reviews and Comments

Nurse Practitioner Nurses in Berkeley, CA

Jessica B. Vetter, RN, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Way, #4300, Berkeley, CA 94720 Phone: 510-642-9494
Patricia Monger Harwood, RN.NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2222 Bancroft Avenue, Berkeley, CA 94704 Phone: 510-642-8833
Miss Madeline Tam Chow, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1510 4th St, Suite 1, Berkeley, CA 94710 Phone: 510-525-8980 Fax: 510-525-8982
Zena E Herman, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 837 Addison St, Berkeley, CA 94710 Phone: 510-981-4100
Kathryn Leach, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2222 Bancroft Way, Berkeley, CA 94720 Phone: 510-642-2000
Stephanie Michelle Tai, FNP, MSN, RN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Milvia St, Berkeley, CA 94704 Phone: 510-204-5600
Denise Scholz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3260 Sacramento St, Berkeley, CA 94702 Phone: 510-981-4100

Mr Samuel Joonsang Lee, FNP-C - Medicare Nurse Practitioner in Berkeley, CA