Dr Derek Takyan Lee, MD, DPT is a medicare enrolled "Radiology - Diagnostic Radiology" provider in Los Angeles, California. He went to University Of Florida College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is
1500 San Pablo St Fl 2, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 442-8541.
Dr Derek Takyan Lee is licensed to practice in California (license number A145718) 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 1225325772.
Healthcare Provider's Profile
| Full Name | Dr Derek Takyan Lee |
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| Gender | Male |
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| Speciality | Diagnostic Radiology |
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| Experience | 9 Years |
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| Location | 1500 San Pablo St Fl 2, Los Angeles, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Derek Takyan Lee attended and graduated from University Of Florida College Of Medicine in 2015
NPI Data:
- NPI Number: 1225325772
- Provider Enumeration Date: 07/06/2011
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547691198
- Enrollment ID: I20200514001009
Medical Identifiers
Medical identifiers for Dr Derek Takyan Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225325772 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 26445 (Florida) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | A145718 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern California Permanente Medical Group | 6002729175 | 8172 |
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. Dr Derek Takyan Lee allows following entities to bill medicare on his behalf.
| Provider Name | Southern California Permanente Medical Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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| Provider Name | Southern California Permanente Medical Group |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316979834
PECOS PAC ID: 6002729175
Enrollment ID: O20040126000823 |
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| Provider Name | Usc Care Medical Group Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902846306
PECOS PAC ID: 0446157747
Enrollment ID: O20050512000412 |
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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. Dr Derek Takyan 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 |
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Dr Derek Takyan Lee, MD, DPT
Po Box 31309,
Los Angeles, CA 90031-0309
Ph: (323) 442-8541 | Dr Derek Takyan Lee, MD, DPT
1500 San Pablo St Fl 2,
Los Angeles, CA 90033-5313
Ph: (323) 442-8541 |
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