David Ansel Lee, DMD in Kenosha, WI - Medicare Dentist Provider

David Ansel Lee, DMD is a medicare enrolled "Dentist - General Practice" provider in Kenosha, Wisconsin. His current practice location is 6226 14th Ave, Kenosha, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 771-1688.

David Ansel Lee is licensed to practice in Wisconsin (license number 6001759-15) 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 1740044882.

Contact Information

	David Ansel Lee, DMD
	6226 14th Ave, Kenosha, WI 53143-4413
	(262) 771-1688
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David Ansel Lee
Gender	Male
Speciality	Dentist - General Practice
Location	6226 14th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740044882
Provider Enumeration Date: 02/08/2024
Last Update Date: 05/23/2025

Medicare PECOS Information:

PECOS PAC ID: 9234677014
Enrollment ID: I20240812001113

Medical Identifiers

Medical identifiers for David Ansel Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740044882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	6001759-15 (Wisconsin)	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. David Ansel Lee allows following entities to bill medicare on his behalf.

Entity Name	Whiteside County Community Health Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528008034 PECOS PAC ID: 4587673835 Enrollment ID: O20060413000438

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. David Ansel 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
David Ansel Lee, DMD 6226 14th Ave, Kenosha, WI 53143-4413 Ph: (562) 410-7580	David Ansel Lee, DMD 6226 14th Ave, Kenosha, WI 53143-4413 Ph: (262) 771-1688

Reviews and Comments

Dentist in Kenosha, WI

Jane Lynn Reyerson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7117 Green Bay Rd, Kenosha, WI 53142 Phone: 262-942-7000 Fax: 262-942-7117
Dr. Cesar D Gonzalez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
Dr. David J. Crewe, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 80th St, Kenosha, WI 53142 Phone: 262-694-2932 Fax: 262-694-3575
Dr. Tarah Marie Gerner, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 6226 14th Ave, Kenosha, WI 53143 Phone: 262-656-0044
Dr. Edmund Jung, Dentist Medicare: Medicare Enrolled Practice Location: 3715 Washington Rd, Kenosha, WI 53144 Phone: 262-654-6800 Fax: 262-657-9995
Dr. Jane Wright, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7851 Cooper Rd, Kenosha, WI 53142 Phone: 262-694-5272
Jasjot Chahil, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6430 Green Bay Rd, Kenosha, WI 53142 Phone: 888-988-4066

David Ansel Lee, DMD - Medicare Dentist in Kenosha, WI