Shulami Park Lee, NP in Chula Vista, CA - Medicare Nurse Practitioner

Shulami Park Lee, NP is a medicare enrolled "Nurse Practitioner - Primary Care" in Chula Vista, California. Her current practice location is 353 H St, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at (858) 552-8585.

Shulami Park Lee is licensed to practice in California (license number 95021436) 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 1003534132.

Contact Information

	Shulami Park Lee, NP
	353 H St, Chula Vista, CA 91910-5501
	(858) 552-8585
	(858) 642-6325

Map and Direction

Provider's Profile

Full Name	Shulami Park Lee
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	353 H St, Chula Vista, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003534132
Provider Enumeration Date: 08/15/2022
Last Update Date: 10/03/2024

Medicare PECOS Information:

PECOS PAC ID: 6507204500
Enrollment ID: I20240514004143

Medical Identifiers

Medical identifiers for Shulami Park Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003534132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	95021436 (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. Shulami Park Lee allows following entities to bill medicare on her behalf.

Entity Name	Neighborhood Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598703647 PECOS PAC ID: 5294649406 Enrollment ID: O20031112000809

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. Shulami Park 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
Shulami Park Lee, NP 353 H St, Chula Vista, CA 91910-5501 Ph: (858) 552-8585	Shulami Park Lee, NP 353 H St, Chula Vista, CA 91910-5501 Ph: (858) 552-8585

Reviews and Comments

Nurse Practitioner Nurses in Chula Vista, CA

Linda Helen Marshall, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 751 Medical Center Ct, Chula Vista, CA 91911 Phone: 619-502-5946
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Karen Vogel, APRN, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 Lane Ave Ste 114, Chula Vista, CA 91914 Phone: 877-840-6956 Fax: 619-383-6701
Allison Marie Davies-uppal, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2360 Corte Pescado, #88, Chula Vista, CA 91914 Phone: 858-335-0682
Sarah Ju Young Keum, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 4th Ave Ste 311, Chula Vista, CA 91910 Phone: 619-371-9156
Genevieve Della Rosa Deutsch, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 765 Medical Center Ct Ste 209, Chula Vista, CA 91911 Phone: 619-427-8892 Fax: 619-422-7660

Shulami Park Lee, NP - Medicare Nurse Practitioner in Chula Vista, CA