Mr Tae Son Lee, CDP, DVC in Lakewood, WA - Medicare Counselor Provider

Mr Tae Son Lee, CDP, DVC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Lakewood, Washington. His current practice location is 8811 S Tacoma Way #106, Lakewood, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 302-3826.

Mr Tae Son Lee is licensed to practice in Washington (license number CP00001153) 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 1679904841.

Contact Information

	Mr Tae Son Lee, CDP, DVC
	8811 S Tacoma Way #106, Lakewood, WA 98499
	(253) 302-3826
	(253) 946-1660

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Tae Son Lee
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	8811 S Tacoma Way #106, Lakewood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679904841
Provider Enumeration Date: 12/12/2013
Last Update Date: 12/12/2013

Medicare PECOS Information:

PECOS PAC ID: 6608202742
Enrollment ID: I20250114001384

Medical Identifiers

Medical identifiers for Mr Tae Son Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679904841	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	CP00001153 (Washington)	Primary
101YP2500X	Counselor - Professional	CP00001153 (Washington)	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. Mr Tae Son Lee allows following entities to bill medicare on his behalf.

Entity Name	Asian American Chemical Dependency Treatment Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144451048 PECOS PAC ID: 2062848104 Enrollment ID: O20200207001351

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. Mr Tae Son 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
Mr Tae Son Lee, CDP, DVC 8811 S Tacoma Way #106, Lakewood, WA 98499 Ph: (253) 302-3826	Mr Tae Son Lee, CDP, DVC 8811 S Tacoma Way #106, Lakewood, WA 98499 Ph: (253) 302-3826

Reviews and Comments

Counselor in Lakewood, WA

Claudia Hockett, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5042
Ms. Tammy Marie Stewart, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5833 Fax: 253-620-5789
Ms. Sabrina Lavonne Thompson, AAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015 Fax: 253-620-5831
Alida Rothgeb, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-7020
Samantha Smith, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015
Ashley Pettis, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015
Tracey Wilber, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499 Phone: 253-620-5015

Mr Tae Son Lee, CDP, DVC - Medicare Counselor in Lakewood, WA