Dr Samuel Shin Kwon Lee, MD - Medicare Urology in Apple Valley, CA

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Dr Samuel Shin Kwon Lee, MD is a medicare enrolled "Urology" physician in Apple Valley, California. He went to Tulane University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Urology. He is a member of the group practice Urologic Institute Of The High Desert Inc, Desert Valley Medical Group Inc and his current practice location is 18400 Us Highway 18, Apple Valley, California. You can reach out to his office (for appointments etc.) via phone at (760) 242-3939.

Dr Samuel Shin Kwon Lee is licensed to practice in California (license number A49819) 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 1194772418.

Contact Information

Dr Samuel Shin Kwon Lee, MD
18400 Us Highway 18,
Apple Valley, CA 92307-2306
(760) 242-3939
(760) 242-3232

Map and Direction




Physician's Profile

Full NameDr Samuel Shin Kwon Lee
GenderMale
SpecialityUrology
Experience34 Years
Location18400 Us Highway 18, Apple Valley, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samuel Shin Kwon Lee attended and graduated from Tulane University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1194772418
  • Provider Enumeration Date: 05/30/2006
  • Last Update Date: 06/15/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5496828485
  • Enrollment ID: I20100910000977

Medical Identifiers

Medical identifiers for Dr Samuel Shin Kwon Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194772418NPI-NPPES
785000022OtherMOMEDICARE PART B

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 110101 (Missouri)Secondary
208800000XUrology 060213 (Georgia)Secondary
208800000XUrology A49819 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Desert Valley HospitalVictorville, CAHospital
St Mary Medical CenterApple valley, CAHospital
Victor Valley Global Medical CenterVictorville, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Urologic Institute Of The High Desert Inc347668100811
Desert Valley Medical Group Inc488059587555

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 Samuel Shin Kwon Lee allows following entities to bill medicare on his behalf.
Entity NameDesert Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639117864
PECOS PAC ID: 4880595875
Enrollment ID: O20040113000803
Entity NameHalo Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467506451
PECOS PAC ID: 7012806052
Enrollment ID: O20040315001110
Entity NameUrologic Institute Of The High Desert Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376867333
PECOS PAC ID: 3476681008
Enrollment ID: O20100503000190
Entity NameHalo Multi-specialty Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770344186
PECOS PAC ID: 8628412418
Enrollment ID: O20240220003822

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 Samuel Shin Kwon 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
Dr Samuel Shin Kwon Lee, MD
18400 Us Highway 18,
Apple Valley, CA 92307-2306

Ph: (760) 242-3939		Dr Samuel Shin Kwon Lee, MD
18400 Us Highway 18,
Apple Valley, CA 92307-2306

Ph: (760) 242-3939

Reviews and Comments


Urology Doctors in Apple Valley, CA

Venkat R Vangala, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 18002 Highway 18, Apple Valley, CA 92307
Phone: 706-946-6000    Fax: 760-242-3502
Dr. Pedram Ilbeigi, D.O.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 18400 Us Highway 18, Suite A, Apple Valley, CA 92307
Phone: 760-242-3939    
Vodur C Reddy, MD
Urology
Medicare: Medicare Enrolled
Practice Location: 18400 Us Highway 18, Suite A, Apple Valley, CA 92307
Phone: 760-242-3939    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.