Dr Jae Won Lee, MD, PHD - Medicare Pathology in Indianapolis, IN

Dr Jae Won Lee, MD, PHD is a medicare enrolled "Pathology - Anatomic Pathology" physician in Indianapolis, Indiana. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Pathology. He is a member of the group practice Johns Hopkins University and his current practice location is 350 W 11th St, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (888) 484-3258.

Dr Jae Won Lee is licensed to practice in Indiana (license number 01099302A) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1497372569.

Contact Information

Dr Jae Won Lee, MD, PHD
350 W 11th St,
Indianapolis, IN 46202-4108
(888) 484-3258
Not Available

Map and Direction




Physician's Profile

Full NameDr Jae Won Lee
GenderMale
SpecialityPathology
Experience6 Years
Location350 W 11th St, Indianapolis, Indiana
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jae Won Lee graduated from medical school in 2020
  NPI Data:
  • NPI Number: 1497372569
  • Provider Enumeration Date: 07/06/2020
  • Last Update Date: 08/14/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6204250889
  • Enrollment ID: I20250602001739

Medical Identifiers

Medical identifiers for Dr Jae Won Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497372569NPI-NPPES
300131633MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0101XPathology - Anatomic Pathology 01099302A (Indiana)Primary
207ZP0101XPathology - Anatomic Pathology D0102131 (Maryland)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Johns Hopkins Hospital, TheBaltimore, MDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Johns Hopkins University89219031472886

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 Jae Won Lee allows following entities to bill medicare on his behalf.
Entity NameJohns Hopkins University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922008549
PECOS PAC ID: 8921903147
Enrollment ID: O20031215000719

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 Jae Won 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 AddressPractice Location Address
Dr Jae Won Lee, MD, PHD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959

Ph: Not Available
Dr Jae Won Lee, MD, PHD
350 W 11th St,
Indianapolis, IN 46202-4108

Ph: (888) 484-3258

Reviews and Comments


Pathology Doctors in Indianapolis, IN

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Carina Anja Dehner, MD, PHD
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Phone: 317-491-6000    Fax: 317-491-6534

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.