Dr Evan W Lee Jr, DO is a medicare enrolled "Emergency Medicine" physician in Weiser, Idaho. His current practice location is
645 E 5th St, Weiser, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 549-0370.
Dr Evan W Lee Jr is licensed to practice in Hawaii (license number DOS-997) 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 1740353432.
Physician's Profile
| Full Name | Dr Evan W Lee Jr |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 645 E 5th St, Weiser, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1740353432
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 08/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911964325
- Enrollment ID: I20120827000278
Medical Identifiers
Medical identifiers for Dr Evan W Lee Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1740353432 | NPI | - | NPPES |
| 111156 | Other | HI | UHA |
| 538332 01 | Medicaid | HI | |
| 0000242321 | Other | HI | HMSA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | DOS-997 (Hawaii) | 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 Evan W Lee Jr allows following entities to bill medicare on his behalf.
| Entity Name | Weiser Valley Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1255364030
PECOS PAC ID: 5294704276
Enrollment ID: O20050124000126 |
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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 Evan W Lee Jr 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 Evan W Lee Jr, DO
4500 W Escalante Dr,
Eagle, ID 83616-4470
Ph: (808) 651-8846 | Dr Evan W Lee Jr, DO
645 E 5th St,
Weiser, ID 83672-2202
Ph: (208) 549-0370 |
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