Young Soo Lee, MD in Fullerton, CA

Young Soo Lee, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Fullerton, California. His current practice location is 2151 N Harbor Blvd Ste 1500, Fullerton, California. You can reach out to his office (for appointments etc.) via phone at (714) 446-5632.

Young Soo Lee is licensed to practice in California (license number G63908) 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 1710986260.

Contact Information

	Young Soo Lee, MD
	2151 N Harbor Blvd Ste 1500, Fullerton, CA 92835-3823
	(714) 446-5632
	(714) 992-3081

Map and Direction

Physician's Profile

Full Name	Young Soo Lee
Gender	Male
Speciality	Radiology - Radiation Oncology
Location	2151 N Harbor Blvd Ste 1500, Fullerton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710986260
Provider Enumeration Date: 07/18/2005
Last Update Date: 06/01/2015

Medicare PECOS Information:

PECOS PAC ID: 8123036548
Enrollment ID: I20060327000813

Medical Identifiers

Medical identifiers for Young Soo Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710986260	NPI	-	NPPES
00G639080	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	G63908 (California)	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. Young Soo Lee allows following entities to bill medicare on his behalf.

Entity Name	Usc Care Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412

Entity Name	Vipal Soni Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962726331 PECOS PAC ID: 0345378113 Enrollment ID: O20100514000818

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. Young Soo 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
Young Soo Lee, MD Po Box 513969, Los Angeles, CA 90051-3969 Ph: (310) 335-4065	Young Soo Lee, MD 2151 N Harbor Blvd Ste 1500, Fullerton, CA 92835-3823 Ph: (714) 446-5632

Reviews and Comments

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Young Soo Lee, MD - Medicare Radiology in Fullerton, CA