| Dr Mark Theodore Lee, DO | |
|
1215 Duff Ave, Ames, IA 50010-5469 | |
| (515) 239-4456 | |
| Not Available |
| Full Name | Dr Mark Theodore Lee |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 10 Years |
| Location | 1215 Duff Ave, Ames, Iowa |
| 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 |
|---|---|---|---|
| 1245625003 | NPI | - | NPPES |
| 67264 | Other | MN | MINNESOTA BOARD OF MEDICAL PRACTICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | DO-06912 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mayo Clinic Health System - Mankato | Mankato, MN | Hospital |
| Mayo Clinic Health System - Fairmont | Fairmont, MN | Hospital |
| Mary Greeley Medical Center | Ames, IA | Hospital |
| Mayo Clinic Health System-new Prague | New prague, MN | Hospital |
| Mayo Clinic Health System - Waseca | Waseca, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mayo Clinic Health System-southwest Minnesota Region | 4688585771 | 605 |
| Mayo Clinic Health System-fairmont | 4981694981 | 139 |
| Mayo Clinic Health System-st James | 9537170352 | 55 |
| Mcfarland Clinic Pc | 1254244239 | 327 |
| Entity Name | Mayo Clinic Health System-lake City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891701637 PECOS PAC ID: 4385556703 Enrollment ID: O20031104000408 |
| Entity Name | Fairview Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
| Entity Name | Fairview Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578545422 PECOS PAC ID: 4688585771 Enrollment ID: O20031110000134 |
| Entity Name | Mayo Clinic Health System-fairmont |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366410862 PECOS PAC ID: 4981694981 Enrollment ID: O20040719000142 |
| Entity Name | Mayo Clinic Health System-st James |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023177730 PECOS PAC ID: 9537170352 Enrollment ID: O20060509000021 |
| Entity Name | Mayo Clinic Health System-lake City |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490 |
| Entity Name | Mayo Clinic Health System-st James |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1639198732 PECOS PAC ID: 9537170352 Enrollment ID: O20080108000344 |
| Entity Name | Fairview Express Care |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1740256668 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003933 |
| Entity Name | Mayo Clinic Health System-southwest Minnesota Region |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1124035282 PECOS PAC ID: 4688585771 Enrollment ID: O20171011003939 |
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1063435410 PECOS PAC ID: 4385556703 Enrollment ID: O20171011003946 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Theodore Lee, DO 1215 Duff Ave, Ames, IA 50010-5469 Ph: (515) 239-4400 | Dr Mark Theodore Lee, DO 1215 Duff Ave, Ames, IA 50010-5469 Ph: (515) 239-4456 |
Karl Hamouche, Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Duff Ave, Ames, IA 50010 Phone: 515-239-4456 | |
Dr. Nima Ahmad Golchin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Duff Ave, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761 | |
John George Hardie, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Duff Avenue, Ames, IA 50010 Phone: 515-239-2411 Fax: 515-956-2714 | |
David S. Sosnouski, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Duff Avenue, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761 | |
Dr. Lyman Shane Hopkins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1111 Duff Ave, Ames, IA 50010 Phone: 515-239-2411 Fax: 515-956-2714 | |
Dr. John Dee Shierholz, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1215 Duff Ave, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761 | |
Dr. Douglas R. Lake, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1215 Duff Avenue, Ames, IA 50010 Phone: 515-239-4456 Fax: 515-239-4761 |