| Chang Su Lee, DO | |
|
169 Martin Avenue, Ephrata, PA 17522 | |
| (717) 859-4533 | |
| (717) 859-4475 |
| Full Name | Chang Su Lee |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 24 Years |
| Location | 169 Martin Avenue, Ephrata, Pennsylvania |
| 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 |
|---|---|---|---|
| 1720182132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | OS012276 (Pennsylvania) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Prime Anesthesia Associates Pc | 5395008759 | 5 |
| Entity Name | Lancaster Orthopedic Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598740508 PECOS PAC ID: 1557264678 Enrollment ID: O20040128000209 |
| Entity Name | Lehigh Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508842246 PECOS PAC ID: 1759276827 Enrollment ID: O20040218000049 |
| Entity Name | Penn State Health Community Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861988644 PECOS PAC ID: 8729351077 Enrollment ID: O20170907002279 |
| Entity Name | Prime Anesthesia Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487157731 PECOS PAC ID: 5395008759 Enrollment ID: O20180417002093 |
| Mailing Address | Practice Location Address |
|---|---|
| Chang Su Lee, DO Po Box 815, 169 Martin Avenue, Ephrata, PA 17522 Ph: (717) 859-4533 | Chang Su Lee, DO 169 Martin Avenue, Ephrata, PA 17522 Ph: (717) 859-4533 |
Eric David Thomas, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Ivan Courtney Shorter, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 Fax: 717-721-5861 | |
Robert A Garvin, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 Fax: 717-859-4475 | |
Brian R Melamed, PH.D., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 Fax: 717-859-4475 | |
Jay Paul Mccardell Iv, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-733-0311 | |
Alan Berkowitz, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 169 Martin Ave, Ephrata, PA 17522 Phone: 717-859-4533 |