Derric Justin Lee, DPT in Berkeley, CA - Medicare Physical Therapy Provider

Derric Justin Lee, DPT is a medicare enrolled "Physical Therapist" provider in Berkeley, California. He graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Select Cal Physical Therapy Pc and his current practice location is 2030 Addison St Ste 101, Berkeley, California. You can reach out to his office (for appointments etc.) via phone at (510) 644-8031.

Derric Justin Lee is licensed to practice in California (license number PT300515) 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 1255008421.

Contact Information

	Derric Justin Lee, DPT
	2030 Addison St Ste 101, Berkeley, CA 94704-1140
	(510) 644-8031
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Derric Justin Lee
Gender	Male
Speciality	Physical Therapy
Experience	3 Years
Location	2030 Addison St Ste 101, 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:

Derric Justin Lee graduated from medical school in 2021

NPI Data:

NPI Number: 1255008421
Provider Enumeration Date: 08/25/2021
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 2567854011
Enrollment ID: I20220113001904

Medical Identifiers

Medical identifiers for Derric Justin Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255008421	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	PT300515 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Select Cal Physical Therapy Pc	4789070699	120

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. Derric Justin Lee allows following entities to bill medicare on his behalf.

Provider Name	G Sports Physical Therapy, Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1396044194 PECOS PAC ID: 3173792538 Enrollment ID: O20110802000183

Provider Name	Select Cal Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1417619008 PECOS PAC ID: 4789070699 Enrollment ID: O20220401000572

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. Derric Justin 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
Derric Justin Lee, DPT 18 Steuben Bay, Alameda, CA 94502-6406 Ph: (510) 846-8409	Derric Justin Lee, DPT 2030 Addison St Ste 101, Berkeley, CA 94704-1140 Ph: (510) 644-8031

Reviews and Comments

Physical Therapist in Berkeley, CA

Pamela Renee Inbar-hansen, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1356 University Ave, Berkeley, CA 94702 Phone: 510-845-5537 Fax: 510-845-5537
Berkeley Physical Therapy Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2041 Bancroft Way, Ste 301, Berkeley, CA 94704 Phone: 510-549-2225 Fax: 510-549-0741
Ms. Ciel Turiya Yogis, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3031 Telegraph Ave Ste 144, Berkeley, CA 94705 Phone: 510-440-7600
Mrs. Diane Mary Kern, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2041 Bancroft Way, Suite 301, Berkeley, CA 94704 Phone: 510-549-2225 Fax: 510-549-0741
Monika Elizabeth Mann, RPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2041 Bancroft Way, Berkeley Physical Therapy, Berkeley, CA 94704 Phone: 510-549-2225 Fax: 510-549-0741
Ashley Leblanc, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2220 Sacramento St Apt D, Berkeley, CA 94702 Phone: 239-209-4965
Krsna Misri, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2001 4th Street, Berkeley, CA 94710 Phone: 510-833-6880

Derric Justin Lee, DPT - Medicare Physical Therapist in Berkeley, CA