Charles Churlmin Lee, MD is a medicare enrolled "Anesthesiology" physician in Fort Meade, Maryland. His current practice location is
1711 Livingston Rd, Fort Meade, Maryland. You can reach out to his office (for appointments etc.) via phone at
(301) 317-0020.
Charles Churlmin Lee is licensed to practice in Maryland (license number D0053060) 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 1821143538.
Physician's Profile
| Full Name | Charles Churlmin Lee |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 1711 Livingston Rd, Fort Meade, Maryland |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821143538
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 03/08/2013
Medicare PECOS Information:
- PECOS PAC ID: 4587630892
- Enrollment ID: I20040908000987
Medical Identifiers
Medical identifiers for Charles Churlmin Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1821143538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | D0053060 (Maryland) | 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. Charles Churlmin Lee allows following entities to bill medicare on his behalf.
| Entity Name | Fort Washington Anesthesia Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1538214242 PECOS PAC ID: 1658347968 Enrollment ID: O20040909000140 |
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| Entity Name | North American Partners In Anesthesia Maryland Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093707879 PECOS PAC ID: 1850283144 Enrollment ID: O20140317000783 |
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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. Charles Churlmin 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 |
Charles Churlmin Lee, MD Po Box 639, Laurel, MD 20725 Ph: (301) 317-0020 | Charles Churlmin Lee, MD 1711 Livingston Rd, Fort Meade, MD 20744 Ph: (301) 317-0020 |
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