Dr Samantha Jan Lee, DO - Medicare Emergency Medicine in Bloomington, MN

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Dr Samantha Jan Lee, DO is a medicare enrolled "Emergency Medicine" physician in Bloomington, Minnesota. She graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Fairview Health Services, Hennepin Healthcare System Inc and her current practice location is 4300 Marketpointe Dr Ste 100, Bloomington, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 835-9880.

Dr Samantha Jan Lee is licensed to practice in Minnesota (license number 69780) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1205363801.

Contact Information

Dr Samantha Jan Lee, DO
4300 Marketpointe Dr Ste 100,
Bloomington, MN 55435-5435
(952) 835-9880
(952) 857-1554

Map and Direction




Physician's Profile

Full NameDr Samantha Jan Lee
GenderFemale
SpecialityEmergency Medicine
Experience8 Years
Location4300 Marketpointe Dr Ste 100, Bloomington, Minnesota
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Samantha Jan Lee graduated from medical school in 2017
  NPI Data:
  • NPI Number: 1205363801
  • Provider Enumeration Date: 05/15/2017
  • Last Update Date: 11/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4082982822
  • Enrollment ID: I20210901000251

Medical Identifiers

Medical identifiers for Dr Samantha Jan Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205363801NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 5101023352 (Michigan)Secondary
207P00000XEmergency Medicine 69780 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hennepin County Medical Center 1Minneapolis, MNHospital
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Health Services1951213057551
Hennepin Healthcare System Inc4789684861830

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 Samantha Jan Lee allows following entities to bill medicare on her behalf.
Entity NameGrand Itasca Clinic And Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669426631
PECOS PAC ID: 8123939550
Enrollment ID: O20031105000209
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameHennepin Healthcare System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033138136
PECOS PAC ID: 4789684861
Enrollment ID: O20070207000467

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 Samantha Jan 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 Samantha Jan Lee, DO
4300 Marketpointe Dr Ste 100,
Bloomington, MN 55435-5435

Ph: (952) 835-9880		Dr Samantha Jan Lee, DO
4300 Marketpointe Dr Ste 100,
Bloomington, MN 55435-5435

Ph: (952) 835-9880

Reviews and Comments


Emergency Medicine Doctors in Bloomington, MN

Rebecca Lynn Meyer, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    
Dr. Holly Lynn Schrupp Berg, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Andrew H Bauer, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Laura Kuhlman,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    
Elisabeth Marycke Vreede Greenberg,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Marketpointe Dr Ste 100, Bloomington, MN 55435
Phone: 952-835-9880    Fax: 952-857-1554
Dr. Charles Higgins Brower, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Market Pte Dr Ste 100, Bloomington, MN 55435
Phone: 952-767-4574    
Zachary Taylor, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4300 Market Pte Dr Ste 100, Bloomington, MN 55435
Phone: 952-767-4574    

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.