| Chong Chin Lee, MD | |
|
3501 Cranberry Blvd, Weston, WI 54476 | |
| (715) 847-3600 | |
| Not Available |
| Full Name | Chong Chin Lee |
|---|---|
| Gender | Male |
| Speciality | Cardiac Surgery |
| Experience | 38 Years |
| Location | 3501 Cranberry Blvd, Weston, Wisconsin |
| 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 |
|---|---|---|---|
| 1497855647 | NPI | - | NPPES |
| 34124400 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 43570 (Wisconsin) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 43570 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Home Care | Cedar rapids, IA | Home health agency |
| Mercy Medical Center - Cedar Rapids | Cedar rapids, IA | Hospital |
| Jones Regional Medical Center | Anamosa, IA | Hospital |
| St Lukes Hospital | Cedar rapids, IA | Hospital |
| Washington County Hospital And Clinics | Washington, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Medical Center | 4183535271 | 303 |
| Entity Name | Mercy Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700834165 PECOS PAC ID: 4183535271 Enrollment ID: O20031215000145 |
| Mailing Address | Practice Location Address |
|---|---|
| Chong Chin Lee, MD 1000 N Oak Ave, Marshfield, WI 54449-5777 Ph: () - | Chong Chin Lee, MD 3501 Cranberry Blvd, Weston, WI 54476 Ph: (715) 847-3600 |
John H. Braxton, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3400 Ministry Pkwy, Weston, WI 54476 Phone: 715-393-1000 | |
James David Hall, M.D. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 3301 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-3900 |