Jonghyeok Lee, is a medicare enrolled "Social Worker - Clinical" provider in Los Angeles, California. His current practice location is
1968 W Adams Blvd # 101, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at
(323) 731-3534.
Jonghyeok Lee is licensed to practice in * (Not Available) (license number ) 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 1710444377.
Healthcare Provider's Profile
| Full Name | Jonghyeok Lee |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1968 W Adams Blvd # 101, Los Angeles, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710444377
- Provider Enumeration Date: 03/01/2019
- Last Update Date: 09/22/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820469729
- Enrollment ID: I20230131002130
Medical Identifiers
Medical identifiers for Jonghyeok Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710444377 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 85457 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Jonghyeok Lee allows following entities to bill medicare on his behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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| Entity Name | Well Mental Health Counseling Licensed Clinical Social Worker Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942080981 PECOS PAC ID: 6800244658 Enrollment ID: O20231205000355 |
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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. Jonghyeok 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 |
Jonghyeok Lee, 1665 W Adams Blvd, Los Angeles, CA 90007-1533 Ph: (323) 731-3534 | Jonghyeok Lee, 1968 W Adams Blvd # 101, Los Angeles, CA 90018-3515 Ph: (323) 731-3534 |
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