Mrs Theresa Carol Lee, FNP-C - Medicare Nurse Practitioner in Englewood, NJ

Mrs Theresa Carol Lee, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Englewood, New Jersey. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Allied Digestive Health Llc and her current practice location is 420 Grand Ave Ste 101, Englewood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 569-7044.

Mrs Theresa Carol Lee is licensed to practice in New Jersey (license number 26NJ00967900) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619518453.

Contact Information

Mrs Theresa Carol Lee, FNP-C
420 Grand Ave Ste 101,
Englewood, NJ 07631-4141
(201) 569-7044
Not Available

Map and Direction




Provider's Profile

Full NameMrs Theresa Carol Lee
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location420 Grand Ave Ste 101, Englewood, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Theresa Carol Lee graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1619518453
  • Provider Enumeration Date: 10/02/2019
  • Last Update Date: 10/02/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 3870920242
  • Enrollment ID: I20200224002933

Medical Identifiers

Medical identifiers for Mrs Theresa Carol Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619518453NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 26NJ00967900 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Englewood Hospital And Medical CenterEnglewood, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Allied Digestive Health Llc5991027583216

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. Mrs Theresa Carol Lee allows following entities to bill medicare on her behalf.
Entity NameAllied Digestive Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265831259
PECOS PAC ID: 5991027583
Enrollment ID: O20141210001569
Entity NameThe Gastroenterology Group Of Northern New Jersey Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073944005
PECOS PAC ID: 5890019137
Enrollment ID: O20150115001388

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. Mrs Theresa Carol 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
Mrs Theresa Carol Lee, FNP-C
333 Willow St Apt 404,
Teaneck, NJ 07666-4068

Ph: (847) 877-6172
Mrs Theresa Carol Lee, FNP-C
420 Grand Ave Ste 101,
Englewood, NJ 07631-4141

Ph: (201) 569-7044

Reviews and Comments


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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.