Soojeong Lee, FNP - Medicare Nurse Practitioner in Fairfax, VA

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Soojeong Lee, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fairfax, Virginia. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Inova Health Care Services, Personic Virtual Clinic Llc and her current practice location is 8081 Innovation Park Dr, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 472-4724.

Soojeong Lee is licensed to practice in Virginia (license number 0024180316) 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 1659978104.

Contact Information

Soojeong Lee, FNP
8081 Innovation Park Dr,
Fairfax, VA 22031-4867
(571) 472-4724
Not Available

Map and Direction




Provider's Profile

Full NameSoojeong Lee
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location8081 Innovation Park Dr, Fairfax, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Soojeong Lee graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1659978104
  • Provider Enumeration Date: 10/07/2020
  • Last Update Date: 07/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355754110
  • Enrollment ID: I20210115001471

Medical Identifiers

Medical identifiers for Soojeong Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659978104NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024180316 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Inova Fairfax HospitalFalls church, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Inova Health Care Services24663510931778
Personic Virtual Clinic Llc872949684910

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. Soojeong Lee allows following entities to bill medicare on her behalf.
Entity NameInova Health Care Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952320061
PECOS PAC ID: 2466351093
Enrollment ID: O20040102000644
Entity NameInova Health Care Services
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1275097123
PECOS PAC ID: 2466351093
Enrollment ID: O20190509001539
Entity NamePersonic Virtual Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740878420
PECOS PAC ID: 8729496849
Enrollment ID: O20210409000073
Entity NamePremium Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982379590
PECOS PAC ID: 0547667966
Enrollment ID: O20210927002867

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. Soojeong 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 AddressPractice Location Address
Soojeong Lee, FNP
Po Box 37174,
Baltimore, MD 21297-3174

Ph: (571) 423-5699		Soojeong Lee, FNP
8081 Innovation Park Dr,
Fairfax, VA 22031-4867

Ph: (571) 472-4724

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.