Daewoong Lee, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Bloomington, Indiana. He went to Columbia University College Of Physicians And Surgeons and graduated in 2016 and has 9 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and his current practice location is
888 S Auto Mall Rd, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 353-2700.
Daewoong Lee is licensed to practice in Indiana (license number 01086201A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477909703.
Physician's Profile
| Full Name | Daewoong Lee |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 9 Years |
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| Location | 888 S Auto Mall Rd, Bloomington, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Daewoong Lee attended and graduated from Columbia University College Of Physicians And Surgeons in 2016
NPI Data:
- NPI Number: 1477909703
- Provider Enumeration Date: 05/05/2016
- Last Update Date: 01/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 9133411622
- Enrollment ID: I20210831002659
Medical Identifiers
Medical identifiers for Daewoong Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477909703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 270737 (Massachusetts) | Secondary |
| 207R00000X | Internal Medicine | 125.069028 (Illinois) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | 66702 (Minnesota) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 01086201A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 461 |
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. Daewoong Lee allows following entities to bill medicare on his behalf.
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
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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. Daewoong 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 |
Daewoong Lee, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Daewoong Lee, MD 888 S Auto Mall Rd, Bloomington, IN 47401-5430 Ph: (812) 353-2700 |
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