Dae Peter Lee, PSYD in Sylmar, CA - Medicare Psychologist Provider

Dae Peter Lee, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Sylmar, California. His current practice location is 12220 Foothill Blvd, Sylmar, California. You can reach out to his office (for appointments etc.) via phone at (818) 934-8841.

Dae Peter Lee is licensed to practice in California (license number PSY23104) 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 1851620439.

Contact Information

	Dae Peter Lee, PSYD
	12220 Foothill Blvd, Sylmar, CA 91342-6001
	(818) 934-8841
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dae Peter Lee
Gender	Male
Speciality	Psychologist - Clinical
Location	12220 Foothill Blvd, Sylmar, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851620439
Provider Enumeration Date: 12/10/2009
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 2769523679
Enrollment ID: I20100113000776

Medical Identifiers

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

Identifier	Type	State	Issuer
1851620439	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY23104 (California)	Primary
2084P0800X	Psychiatry & Neurology - Psychiatry	PSY23104 (California)	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. Dae Peter Lee allows following entities to bill medicare on his behalf.

Entity Name	Health Service Alliance
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801307368 PECOS PAC ID: 4587642467 Enrollment ID: O20040708000369

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. Dae Peter 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
Dae Peter Lee, PSYD 324 N Lincoln St, Burbank, CA 91506-2112 Ph: (714) 552-0371	Dae Peter Lee, PSYD 12220 Foothill Blvd, Sylmar, CA 91342-6001 Ph: (818) 934-8841

Reviews and Comments

Psychologist in Sylmar, CA

Tom Sean Cleary, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16350 Filbert St, Mental Health, Sylmar, CA 91342 Phone: 818-364-2152
Dr. Edward Scott Stella, Psychologist Medicare: Medicare Enrolled Practice Location: 12220 Foothill Blvd, Sylmar, CA 91342 Phone: 818-612-0591
Dr. Elaine R Powell, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16350 Filbert St, Sylmar, CA 91342 Phone: 818-364-2152 Fax: 818-833-5438
Zoada Harris, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16350 Filbert St, Department Of Mental Health, Sylmar, CA 91342 Phone: 818-364-2152
Dr. Evlin Abed, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16350 Filbert St, Sylmar, CA 91342 Phone: 818-364-2152
Dr. Maria Yvonne Scott, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16350 Filbert St, Sylmar, CA 91342 Phone: 818-364-6881
Ralph Williams, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16350 Filbert St, Department Of Mental Health, Sylmar, CA 91342 Phone: 818-364-2152

Dae Peter Lee, PSYD - Medicare Psychologist in Sylmar, CA