| Dr Jung Jin Lee, MD | |
|
390 Birch St, Morgantown, WV 26505 | |
| (304) 293-0741 | |
| Not Available |
| Full Name | Dr Jung Jin Lee |
|---|---|
| Gender | Male |
| Speciality | General Practice |
| Location | 390 Birch St, Morgantown, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467749473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 27001 (West Virginia) | Secondary |
| 208D00000X | General Practice | 72859 (Georgia) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jung Jin Lee, MD 390 Birch St, Morgantown, WV 26505 Ph: () - | Dr Jung Jin Lee, MD 390 Birch St, Morgantown, WV 26505 Ph: (304) 293-0741 |
Dr. Joseph Michael Hartzog, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 710 Venture Dr, Morgantown, WV 26508 Phone: 304-291-5533 Fax: 304-291-5548 | |
Dr. Mohammed Almubarak, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Drive, Morgantown, WV 26505 Phone: 304-293-4229 Fax: 304-598-4871 | |
Sean M Hanlon, MD General Practice Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-1224 | |
Dr. Michael Slattery, MD General Practice Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-2436 Fax: 304-293-6702 | |
Dr. Cynthia Clark Clarkson, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 101 Stadium Dr, Morgantown, WV 26506 Phone: 304-598-4850 Fax: 304-598-4871 | |
Charles Edwards, General Practice Medicare: Medicare Enrolled Practice Location: 1 Medical Center Dr, Morgantown, WV 26506 Phone: 304-293-2436 Fax: 304-293-6702 | |
Dr. Meghann Elizabeth Mcgushin, D.O. General Practice Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Center Drive, Box 9149, Morgantown, WV 26506 Phone: 304-293-7215 Fax: 304-293-6702 |