Dr Edmund Lee, MD, PHD is a medicare enrolled "Dermatology" physician in North Babylon, New York. His current practice location is
1476 Deer Park Ave Ste 2, North Babylon, New York. You can reach out to his office (for appointments etc.) via phone at
(929) 403-5190.
Dr Edmund Lee is licensed to practice in New York (license number 210438) 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 1720049067.
Physician's Profile
| Full Name | Dr Edmund Lee |
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| Gender | Male |
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| Speciality | Dermatology |
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| Location | 1476 Deer Park Ave Ste 2, North Babylon, New York |
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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: 1720049067
- Provider Enumeration Date: 03/28/2006
- Last Update Date: 06/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002899515
- Enrollment ID: I20040607001554
Medical Identifiers
Medical identifiers for Dr Edmund Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720049067 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207N00000X | Dermatology | 210438 (New York) | Primary |
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. Dr Edmund Lee allows following entities to bill medicare on his behalf.
| Entity Name | North Shore Medical Group Of The Mount Sinai School Of Medicine |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275640609 PECOS PAC ID: 8921999087 Enrollment ID: O20040320000412 |
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| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20081202000185 |
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| Entity Name | New York University |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
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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. Dr Edmund 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 |
Dr Edmund Lee, MD, PHD 5 Cuba Hill Rd, Greenlawn, NY 11740-1624 Ph: (631) 628-5000 | Dr Edmund Lee, MD, PHD 1476 Deer Park Ave Ste 2, North Babylon, NY 11703-1200 Ph: (929) 403-5190 |
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