Jack Lee, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Newtown, Pennsylvania. His current practice location is
11 Friends Ln Ste 115, Newtown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(609) 799-1600.
Jack Lee is licensed to practice in Pennsylvania (license number MD482446) 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 1538653217.
Physician's Profile
Full Name | Jack Lee |
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Gender | Male |
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Speciality | Dermatology - Mohs-micrographic Surgery |
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Location | 11 Friends Ln Ste 115, Newtown, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538653217
- Provider Enumeration Date: 06/18/2018
- Last Update Date: 02/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668721325
- Enrollment ID: I20230914001415
Medical Identifiers
Medical identifiers for Jack Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538653217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 25MA11878200 (New Jersey) | Secondary |
207N00000X | Dermatology | MD482446 (Pennsylvania) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 25MA11878200 (New Jersey) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | MD482446 (Pennsylvania) | Primary |
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. Jack Lee allows following entities to bill medicare on his behalf.
Entity Name | Alliance Dermatology Physicians Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093368185 PECOS PAC ID: 9133553449 Enrollment ID: O20191226000023 |
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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. Jack 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 |
Jack Lee, MD 11 Friends Ln Ste 115, Newtown, PA 18940-1885 Ph: (609) 799-1600 | Jack Lee, MD 11 Friends Ln Ste 115, Newtown, PA 18940-1885 Ph: (609) 799-1600 |
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