Davis Joon Lee, is a medicare enrolled "Emergency Medicine" physician in Fairborn, Ohio. His current practice location is
2555 University Dr Ste 110, Fairborn, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 775-8188.
Davis Joon Lee is licensed to practice in Ohio (license number 34.017513) 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 1912643826.
Physician's Profile
| Full Name | Davis Joon Lee |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 2555 University Dr Ste 110, Fairborn, Ohio |
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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: 1912643826
- Provider Enumeration Date: 05/12/2022
- Last Update Date: 06/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 2466818844
- Enrollment ID: I20230510002902
Medical Identifiers
Medical identifiers for Davis Joon Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1912643826 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | 34.017513 (Ohio) | Primary |
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. Davis Joon 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 |
Davis Joon Lee, 77 Nealy Ave, Hampton, VA 23665-2040 Ph: (757) 225-7630 | Davis Joon Lee, 2555 University Dr Ste 110, Fairborn, OH 45324-6255 Ph: (937) 775-8188 |
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