Young Tae Lee, PNHNP in Agoura Hills, CA - Medicare Nurse Practitioner

Young Tae Lee, PNHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Agoura Hills, California. His current practice location is 30423 Canwood St Ste 123, Agoura Hills, California. You can reach out to his office (for appointments etc.) via phone at (818) 385-1219.

Young Tae Lee is licensed to practice in California (license number 95019749) 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 1225780562.

Contact Information

	Young Tae Lee, PNHNP
	30423 Canwood St Ste 123, Agoura Hills, CA 91301-4314
	(818) 385-1219
	(818) 385-1600

Map and Direction

Provider's Profile

Full Name	Young Tae Lee
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	30423 Canwood St Ste 123, Agoura Hills, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225780562
Provider Enumeration Date: 01/18/2022
Last Update Date: 02/22/2024

Medicare PECOS Information:

PECOS PAC ID: 8022486679
Enrollment ID: I20221201002402

Medical Identifiers

Medical identifiers for Young Tae Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225780562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95019749 (California)	Primary
163WP0808X	Registered Nurse - Psychiatric/mental Health	95158737 (California)	Secondary

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. Young Tae Lee allows following entities to bill medicare on his behalf.

Entity Name	Robert P Kahn-rose Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407936784 PECOS PAC ID: 6305843939 Enrollment ID: O20110310000874

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. Young Tae 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
Young Tae Lee, PNHNP 30423 Canwood St Ste 123, Agoura Hills, CA 91301-4314 Ph: (818) 385-1219	Young Tae Lee, PNHNP 30423 Canwood St Ste 123, Agoura Hills, CA 91301-4314 Ph: (818) 385-1219

Reviews and Comments

Nurse Practitioner Nurses in Agoura Hills, CA

Aryan Jamali, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 30423 Canwood St Ste 225, Agoura Hills, CA 91301 Phone: 818-871-9518 Fax: 818-871-9521
Collette Lee King, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St, Suite 300, Agoura Hills, CA 91301 Phone: 818-706-2477 Fax: 818-706-2368
Jennifer Rusnanto Ng, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 29525 Canwood St Ste 200, Agoura Hills, CA 91301 Phone: 818-699-6553
Eunice Fernandez, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5623 Kanan Rd, Agoura Hills, CA 91301 Phone: 818-991-5522
Sara Vaghar, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301 Phone: 925-282-1778 Fax: 415-296-5299
Micole Alesia Brookins, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5012 Chesebro Rd Ste 200, Agoura Hills, CA 91301 Phone: 925-282-1778

Young Tae Lee, PNHNP - Medicare Nurse Practitioner in Agoura Hills, CA