So Jung Lee, DMD in Centreville, VA - Medicare Dentist Provider

So Jung Lee, DMD is a medicare enrolled "Dentist - General Practice" provider in Centreville, Virginia. Her current practice location is 13880 Braddock Rd Ste 109, Centreville, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 830-9990.

So Jung Lee is licensed to practice in Virginia (license number 0401417223) 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 1821612904.

Contact Information

	So Jung Lee, DMD
	13880 Braddock Rd Ste 109, Centreville, VA 20121-2460
	(703) 830-9990
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	So Jung Lee
Gender	Female
Speciality	Dentist - General Practice
Location	13880 Braddock Rd Ste 109, Centreville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821612904
Provider Enumeration Date: 06/03/2020
Last Update Date: 04/22/2022

Medicare PECOS Information:

PECOS PAC ID: 5698198836
Enrollment ID: I20200707002529

Medical Identifiers

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

Identifier	Type	State	Issuer
1821612904	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	30.026164 (Ohio)	Secondary
1223G0001X	Dentist - General Practice	0401417223 (Virginia)	Primary

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. So Jung 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
So Jung Lee, DMD 9450 Fairfax Blvd Apt 1504, Fairfax, VA 22031-2422 Ph: (703) 969-4878	So Jung Lee, DMD 13880 Braddock Rd Ste 109, Centreville, VA 20121-2460 Ph: (703) 830-9990

Reviews and Comments

Dentist in Centreville, VA

Dr. Timothy J Kim, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5900 Centreville Rd, 209, Centreville, VA 20121 Phone: 703-378-5777 Fax: 703-378-5776
Damita Edwards, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6211 Centreville Rd, #600, Centreville, VA 20121 Phone: 703-961-8808 Fax: 703-961-8838
Dr. William Aloysuis O'donnell, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5675 Stone Rd Ste 205, Centreville, VA 20120 Phone: 703-818-1553
Dr. Lesley West, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5957 Centreville Crest Ln, Centreville, VA 20121 Phone: 703-815-3636
Seyed Omid Dianat, Dentist Medicare: Not Enrolled in Medicare Practice Location: 13880 Braddock Rd Ste 307, Centreville, VA 20121 Phone: 703-815-3636
Dr. Anthony D Falbo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14245f Centreville Sq, Centreville, VA 20121 Phone: 703-815-0775 Fax: 703-222-7557
Dr. Nitin Agrawal, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13880 Braddock Rd Ste 307, Centreville, VA 20121 Phone: 703-815-3636

So Jung Lee, DMD - Medicare Dentist in Centreville, VA