Su Jin Lee, MS, CCC-SLP - Medicare Speech-Language Pathologist in Clarksville, TN

Su Jin Lee, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Clarksville, Tennessee. Her current practice location is 298 Clear Sky Ct Ste G, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 542-2739.

Su Jin Lee is licensed to practice in Tennessee (license number 4980) 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 1730528373.

Contact Information

Su Jin Lee, MS, CCC-SLP
298 Clear Sky Ct Ste G,
Clarksville, TN 37043-5685
(931) 542-2739
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSu Jin Lee
GenderFemale
SpecialitySpeech-language Pathologist
Location298 Clear Sky Ct Ste G, Clarksville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730528373
  • Provider Enumeration Date: 06/17/2013
  • Last Update Date: 06/17/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3577917624
  • Enrollment ID: I20230925000415

Medical Identifiers

Medical identifiers for Su Jin Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730528373NPI-NPPES
201086967OtherUSCIS NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
235Z00000XSpeech-language Pathologist 4980 (Tennessee)Primary
235Z00000XSpeech-language Pathologist 17738 (California)Secondary
235Z00000XSpeech-language Pathologist 4230 (Kentucky)Secondary
235Z00000XSpeech-language Pathologist 1229 (North Dakota)Secondary
235Z00000XSpeech-language Pathologist 8971 (Minnesota)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. Su Jin Lee allows following entities to bill medicare on her behalf.
Provider NameLegacy Healthcare Services Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306454558
PECOS PAC ID: 2163339722
Enrollment ID: O20200925002518

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. Su Jin 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
Su Jin Lee, MS, CCC-SLP
550 New South Dr Apt 1207,
Clarksville, TN 37043-8429

Ph: (813) 435-8328
Su Jin Lee, MS, CCC-SLP
298 Clear Sky Ct Ste G,
Clarksville, TN 37043-5685

Ph: (931) 542-2739

Reviews and Comments


Speech-Language Pathologist in Clarksville, TN

Mrs. Amber Powell, M.A. SLP-CFY
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 1621 Autumn Dr, Clarksville, TN 37042
Phone: 931-980-9877    
Megan Leigh Mcgrath Durling, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Medicare Enrolled
Practice Location: 461 Pond Apple Rd, Clarksville, TN 37043
Phone: 931-920-4333    Fax: 931-920-4346
Susan Johnson Lingg,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 851 Professional Park Dr, Clarksville, TN 37040
Phone: 931-542-2168    Fax: 931-542-2206
Holly Marie Niles,
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 161 Hatcher Ln, Clarksville, TN 37043
Phone: 931-542-2168    Fax: 931-542-2206
Ashley Elizabeth Rust, MS, CCC-SLP
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 161 Hatcher Ln, Clarksville, TN 37043
Phone: 931-542-2168    
Michael Bush, SLP-CCC
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 621 Gracey Ave, Clarksville, TN 37040
Phone: 423-622-1551    Fax: 877-856-7133
Rachel Smith, SLP-CCC
Speech-Language Pathologist
Medicare: Not Enrolled in Medicare
Practice Location: 621 Gracey Ave, Clarksville, TN 37040
Phone: 423-622-1551    Fax: 877-856-7133

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.