Dae Peter Lee, PSYD - Medicare Psychologist in Sylmar, CA

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Dae Peter Lee, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sylmar, California. His current practice location is 12220 Foothill Blvd, Sylmar, California. You can reach out to his office (for appointments etc.) via phone at (818) 934-8841.

Dae Peter Lee is licensed to practice in California (license number PSY23104) 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 1851620439.

Contact Information

Dae Peter Lee, PSYD
12220 Foothill Blvd,
Sylmar, CA 91342-6001
(818) 934-8841
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDae Peter Lee
GenderMale
SpecialityPsychologist - Clinical
Location12220 Foothill Blvd, Sylmar, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851620439
  • Provider Enumeration Date: 12/10/2009
  • Last Update Date: 09/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2769523679
  • Enrollment ID: I20100113000776

Medical Identifiers

Medical identifiers for Dae Peter Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851620439NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY23104 (California)Primary
2084P0800XPsychiatry & Neurology - Psychiatry PSY23104 (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. Dae Peter Lee allows following entities to bill medicare on his behalf.
Entity NameHealth Service Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801307368
PECOS PAC ID: 4587642467
Enrollment ID: O20040708000369
Entity NameSprk Psychological Services Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801529599
PECOS PAC ID: 2567904725
Enrollment ID: O20240604001767

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. Dae Peter 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
Dae Peter Lee, PSYD
324 N Lincoln St,
Burbank, CA 91506-2112

Ph: (714) 552-0371		Dae Peter Lee, PSYD
12220 Foothill Blvd,
Sylmar, CA 91342-6001

Ph: (818) 934-8841

Reviews and Comments


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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.

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