Vivian Lee, in Saint Paul, MN - Medicare Nurse Practitioner

Vivian Lee, is a medicare enrolled "Nurse Practitioner - Family" in Saint Paul, Minnesota. Her current practice location is 1040 Grand Ave # 5161, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 224-2155.

Vivian Lee is licensed to practice in Minnesota (license number 7660) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124624945.

Contact Information

	Vivian Lee,
	1040 Grand Ave # 5161, Saint Paul, MN 55105-3001
	(651) 224-2155
	Not Available

Map and Direction

Provider's Profile

Full Name	Vivian Lee
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1040 Grand Ave # 5161, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124624945
Provider Enumeration Date: 12/07/2020
Last Update Date: 12/09/2020

Medicare PECOS Information:

PECOS PAC ID: 1052727054
Enrollment ID: I20210316001942

Medical Identifiers

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

Identifier	Type	State	Issuer
1124624945	NPI	-	NPPES
7660	Other	MN	BON

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	7660 (Minnesota)	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. Vivian Lee allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Minnesota Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407227945 PECOS PAC ID: 7810289949 Enrollment ID: O20160712000184

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. Vivian 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
Vivian Lee, 1040 Grand Ave # 5161, Saint Paul, MN 55105-3001 Ph: () -	Vivian Lee, 1040 Grand Ave # 5161, Saint Paul, MN 55105-3001 Ph: (651) 224-2155

Reviews and Comments

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Vivian Lee, - Medicare Nurse Practitioner in Saint Paul, MN