Michelle Jung Ah Lee, LICSW, SUDP is a medicare enrolled "Social Worker - Clinical" provider in Kirkland, Washington. Her current practice location is
12550 120th Ave Ne Unit 668, Kirkland, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 747-7892.
Michelle Jung Ah Lee is licensed to practice in Washington (license number LW61601450) 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 1962905661.
Healthcare Provider's Profile
Full Name | Michelle Jung Ah Lee |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 12550 120th Ave Ne Unit 668, Kirkland, Washington |
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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: 1962905661
- Provider Enumeration Date: 03/09/2018
- Last Update Date: 01/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5294263349
- Enrollment ID: I20250116002927
Medical Identifiers
Medical identifiers for Michelle Jung Ah Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962905661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | SC61309243 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LW61601450 (Washington) | 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. Michelle Jung Ah Lee allows following entities to bill medicare on her behalf.
Entity Name | Mindful Therapy Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
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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. Michelle Jung Ah 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 |
Michelle Jung Ah Lee, LICSW, SUDP 19726 50th Ave W Apt 102, Lynnwood, WA 98036-6473 Ph: () - | Michelle Jung Ah Lee, LICSW, SUDP 12550 120th Ave Ne Unit 668, Kirkland, WA 98034-7559 Ph: (425) 747-7892 |
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