| Andy C Lee, MD | |
|
122 Columbus Rd, Fredericktown, OH 43019-1266 | |
| (740) 694-1261 | |
| (740) 694-7145 |
| Full Name | Andy C Lee |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 37 Years |
| Location | 122 Columbus Rd, Fredericktown, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750349296 | NPI | - | NPPES |
| 0828091 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35058967L (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Knox Community Hospital | Mount vernon, OH | Hospital |
| Ohiohealth Mansfield Hospital | Mansfield, OH | Hospital |
| Avita Ontario | Ontario, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| American Health Network Of Ohio Llc | 3173427721 | 36 |
| Entity Name | American Health Network Of Ohio Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386675544 PECOS PAC ID: 3173427721 Enrollment ID: O20031125000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Andy C Lee, MD 122 Columbus Rd, Fredericktown, OH 43019-1266 Ph: (740) 694-1261 | Andy C Lee, MD 122 Columbus Rd, Fredericktown, OH 43019-1266 Ph: (740) 694-1261 |
William A Elder, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 122 Columbus Rd, Fredericktown, OH 43019 Phone: 740-694-1261 Fax: 740-694-7145 | |
Rebekah H Crawford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 Columbus Rd, Fredericktown, OH 43019 Phone: 740-694-1261 Fax: 740-694-7145 | |
Matthew Bradley Smith, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 122 Columbus Rd, Fredericktown, OH 43019 Phone: 740-694-1261 Fax: 740-694-7145 |