| Dr Augustine Changdae Lee, MD | |
|
12740 N Plaza Del Rio Blvd, Peoria, AZ 85381-8100 | |
| (480) 581-3600 | |
| (480) 581-3600 |
| Full Name | Dr Augustine Changdae Lee |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 16 Years |
| Location | 12740 N Plaza Del Rio Blvd, Peoria, Arizona |
| 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 |
|---|---|---|---|
| 1063948529 | NPI | - | NPPES |
| 208019 | Medicaid | AZ |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Del E. Webb Medical Center | Sun city west, AZ | Hospital |
| Banner Thunderbird Medical Center | Glendale, AZ | Hospital |
| Banner Boswell Medical Center | Sun city, AZ | Hospital |
| Mayo Clinic Hospital | Phoenix, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Bhsm Rehabilitation Llc | 2062773138 | 1575 |
| Post-acute Physicians Of Arizona Pllc | 6406086438 | 9 |
| Entity Name | Post-acute Physicians Of Arizona Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205267119 PECOS PAC ID: 6406086438 Enrollment ID: O20140313000199 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Augustine Changdae Lee, MD 1776 Woodstead Ct Ste 208, The Woodlands, TX 77380-1480 Ph: (281) 724-3050 | Dr Augustine Changdae Lee, MD 12740 N Plaza Del Rio Blvd, Peoria, AZ 85381-8100 Ph: (480) 581-3600 |
Dr. Terry L Bagley, M.D. Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 13451 N 94th Dr, Peoria, AZ 85381 Phone: 623-303-7101 | |
Sarah Mi May, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 8765 W Kelton Ln Ste 116, Peoria, AZ 85382 Phone: 623-977-4911 | |
Dr. Natalya B Faynboym, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 9165 W Thunderbird Rd, Ste 100, Peoria, AZ 85381 Phone: 623-523-6560 Fax: 623-523-6581 | |
Dr. Paul Anthony Pannozzo, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8877 W Union Hills Dr Ste 200, Peoria, AZ 85382 Phone: 623-776-8686 Fax: 623-776-8687 | |
Jack Joel Little, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 9000 W Thunderbird Rd # 205, Peoria, AZ 85381 Phone: 602-491-1948 Fax: 720-925-5897 | |
Mrs. Alicia Joy Beanblossom, L.M.T. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 6853 W Ironwood Dr, Peoria, AZ 85345 Phone: 623-826-9116 |