Timothy Wong Sung Lee, in Loma Linda, CA - Medicare Nurse Practitioner

Timothy Wong Sung Lee, is a medicare enrolled "Nurse Practitioner - Family" in Loma Linda, California. His current practice location is 11448 Loma Linda Dr, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (301) 821-3477.

Timothy Wong Sung Lee is licensed to practice in California (license number 95023451) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1356026405.

Contact Information

	Timothy Wong Sung Lee,
	11448 Loma Linda Dr, Loma Linda, CA 92354-3744
	(301) 821-3477
	Not Available

Map and Direction

Provider's Profile

Full Name	Timothy Wong Sung Lee
Gender	Male
Speciality	Nurse Practitioner - Family
Location	11448 Loma Linda Dr, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356026405
Provider Enumeration Date: 06/16/2023
Last Update Date: 09/12/2024

Medicare PECOS Information:

PECOS PAC ID: 5597115147
Enrollment ID: I20231222002360

Medical Identifiers

Medical identifiers for Timothy Wong Sung Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356026405	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95023451 (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. Timothy Wong Sung Lee allows following entities to bill medicare on his behalf.

Entity Name	Vhc Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306582119 PECOS PAC ID: 8628450749 Enrollment ID: O20220804003468

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. Timothy Wong Sung 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
Timothy Wong Sung Lee, 3660 Park Sierra Dr Ste 203, Riverside, CA 92505-3071 Ph: (951) 687-3400	Timothy Wong Sung Lee, 11448 Loma Linda Dr, Loma Linda, CA 92354-3744 Ph: (301) 821-3477

Reviews and Comments

Nurse Practitioner Nurses in Loma Linda, CA

Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Mrs. Kenya Neoko Singleton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3874
Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291
Krista Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Cecille Bernad Ubbaonu, MSN, RN, AG-ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11285 Mountain View Ave, 40, Loma Linda, CA 92354 Phone: 909-558-5844 Fax: 909-558-7873
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967
Lauren Trajano, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000

Timothy Wong Sung Lee, - Medicare Nurse Practitioner in Loma Linda, CA