Dr Nina Lee-tall, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Redondo Beach, California. She went to University Of Southern California Keck School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Otolaryngology. Her current practice location is
1200 S Pacific Coast Hwy Ste C, Redondo Beach, California. You can reach out to her office (for appointments etc.) via phone at
(310) 375-2102.
Dr Nina Lee-tall is licensed to practice in California (license number A61349) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1821029794.
Physician's Profile
| Full Name | Dr Nina Lee-tall |
|---|
| Gender | Female |
|---|
| Speciality | Otolaryngology |
|---|
| Experience | 30 Years |
|---|
| Location | 1200 S Pacific Coast Hwy Ste C, Redondo Beach, California |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Nina Lee-tall attended and graduated from University Of Southern California Keck School Of Medicine in 1995
NPI Data:
- NPI Number: 1821029794
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 04/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 8820010770
- Enrollment ID: I20051221000249
Medical Identifiers
Medical identifiers for Dr Nina Lee-tall such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821029794 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | A61349 (California) | Primary |
Medical Facilities Affiliation
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 Nina Lee-tall allows following entities to bill medicare on her behalf.
| Entity Name | Nina J Lee Tall Md Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1215020292
PECOS PAC ID: 9830111780
Enrollment ID: O20051220000870 |
|---|
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 Nina Lee-tall 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 Nina Lee-tall, MD
1200 S Pacific Coast Hwy Ste C,
Redondo Beach, CA 90277-4987
Ph: (310) 375-2102 | Dr Nina Lee-tall, MD
1200 S Pacific Coast Hwy Ste C,
Redondo Beach, CA 90277-4987
Ph: (310) 375-2102 |
Reviews and Comments