Chan Ho Lee, in Flushing, NY - Medicare Nurse Practitioner

Chan Ho Lee, is a medicare enrolled "Nurse Practitioner - Adult Health" in Flushing, New York. His current practice location is 5645 Main St, Flushing, New York. You can reach out to his office (for appointments etc.) via phone at (718) 670-2170.

Chan Ho Lee is licensed to practice in New York (license number F306352) 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 1518308782.

Contact Information

	Chan Ho Lee,
	5645 Main St, Flushing, NY 11355-5045
	(718) 670-2170
	Not Available

Map and Direction

Provider's Profile

Full Name	Chan Ho Lee
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	5645 Main St, Flushing, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518308782
Provider Enumeration Date: 07/16/2013
Last Update Date: 07/16/2013

Medicare PECOS Information:

PECOS PAC ID: 1557641602
Enrollment ID: I20161206002056

Medical Identifiers

Medical identifiers for Chan Ho Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518308782	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	F306352 (New York)	Primary
363LG0600X	Nurse Practitioner - Gerontology	F340878 (New York)	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. Chan Ho Lee allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Chan Ho 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
Chan Ho Lee, 14026 Cherry Ave Apt 4e, Flushing, NY 11355-6035 Ph: (917) 902-5502	Chan Ho Lee, 5645 Main St, Flushing, NY 11355-5045 Ph: (718) 670-2170

Reviews and Comments

Nurse Practitioner Nurses in Flushing, NY

Peter Jaesung Jo, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 917-340-4637
Yangyang Hu, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13107 40th Rd, Flushing, NY 11354 Phone: 718-888-9183 Fax: 718-888-1751
Angelina Yushuvayev, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14703 77th Rd, Flushing, NY 11367 Phone: 917-859-3721
Esther Hyunhee Lim, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-2388
Ms. Tanya K. Walker, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3515 Parsons Blvd, Flushing, NY 11354 Phone: 718-961-3500
Linda Hosford, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5645 Main St, Flushing, NY 11355 Phone: 718-670-2627 Fax: 516-437-4167
Ms. Nenita Ventulan Sausa, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4500 Parsons Blvd, Flushing, NY 11355 Phone: 718-670-5640 Fax: 718-670-5711

Chan Ho Lee, - Medicare Nurse Practitioner in Flushing, NY