| Daesung Lee, MD | |
|
721 E Milltown Rd, Wooster, OH 44691-1255 | |
| (330) 287-4500 | |
| (330) 287-4601 |
| Full Name | Daesung Lee |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 29 Years |
| Location | 721 E Milltown Rd, Wooster, 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 |
|---|---|---|---|
| 1750468526 | NPI | - | NPPES |
| 2553080 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 35085322 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Akron General Medical Center | Akron, OH | Hospital |
| Cleveland Clinic | Cleveland, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wooster Clinic Llc | 6800708124 | 401 |
| Cleveland Clinic | 1850203555 | 6894 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Mailing Address | Practice Location Address |
|---|---|
| Daesung Lee, MD 1740 Cleveland Rd, Wooster, OH 44691-2204 Ph: (330) 287-4500 | Daesung Lee, MD 721 E Milltown Rd, Wooster, OH 44691-1255 Ph: (330) 287-4500 |
Michael John Seider, PH.D., M.D., F.A.C.R Radiology Medicare: Accepting Medicare Assignments Practice Location: 2376 Benden Dr, Wooster, OH 44691 Phone: 330-262-6060 Fax: 330-262-5572 | |
Pamela A Maguire, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1761 Beall Ave, Wooster, OH 44691 Phone: 330-263-8499 |