Jacob Lee, DMD, MD in Fayetteville, GA - Medicare Maxillofacial Surgery Provider

Jacob Lee, DMD, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Fayetteville, Georgia. He graduated from medical school in 2017 and has 9 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Atlanta Oral And Facial Surgery Llc and his current practice location is 1260 Highway 54 Ste 200, Fayetteville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 461-2101.

Jacob Lee is licensed to practice in Georgia (license number 94785) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1912438805.

Contact Information

	Jacob Lee, DMD, MD
	1260 Highway 54 Ste 200, Fayetteville, GA 30214-4513
	(770) 461-2101
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Lee
Gender	Male
Speciality	Maxillofacial Surgery
Experience	9 Years
Location	1260 Highway 54 Ste 200, Fayetteville, Georgia
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacob Lee graduated from medical school in 2017

NPI Data:

NPI Number: 1912438805
Provider Enumeration Date: 03/23/2017
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 1557632197
Enrollment ID: I20240805001927

Medical Identifiers

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

Identifier	Type	State	Issuer
1912438805	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DN122602 (Georgia)	Secondary
204E00000X	Oral & Maxillofacial Surgery	94785 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Atlanta Oral And Facial Surgery Llc	8628062387	24

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. Jacob Lee allows following entities to bill medicare on his behalf.

Entity Name	Atlanta Oral & Facial Surgery LLC
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992738165 PECOS PAC ID: 8628062387 Enrollment ID: O20040414000589

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. Jacob 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
Jacob Lee, DMD, MD 2593 Brookline Cir Ne, Brookhaven, GA 30319-3691 Ph: (404) 966-8576	Jacob Lee, DMD, MD 1260 Highway 54 Ste 200, Fayetteville, GA 30214-4513 Ph: (770) 461-2101

Jacob Lee, DMD, MD - Medicare in Fayetteville, GA