Dr Seung Ho Lee, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Ridgefield, New Jersey. He graduated from medical school in 1979 and has 45 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice State Of New Jersey Omb Centralized Payroll and his current practice location is
566 Grand Ave, Ridgefield, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(201) 313-8000.
Dr Seung Ho Lee is licensed to practice in New Jersey (license number 25MA06212900) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770693996.
Physician's Profile
| Full Name | Dr Seung Ho Lee |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 45 Years |
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| Location | 566 Grand Ave, Ridgefield, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Seung Ho Lee graduated from medical school in 1979
NPI Data:
- NPI Number: 1770693996
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7618938135
- Enrollment ID: I20041019000767
Medical Identifiers
Medical identifiers for Dr Seung Ho Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770693996 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA06212900 (New Jersey) | Primary |
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 Seung Ho Lee allows following entities to bill medicare on his behalf.
| Entity Name | State Of New Jersey Omb Centralized Payroll |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336221878
PECOS PAC ID: 6406742592
Enrollment ID: O20040420000292 |
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| Entity Name | Ephatha Mental Health Associates Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609026830
PECOS PAC ID: 6608923891
Enrollment ID: O20090403000291 |
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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 Seung Ho 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 Address | Practice Location Address |
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Dr Seung Ho Lee, MD
566 Grand Ave,
Ridgefield, NJ 07657-1504
Ph: (201) 313-8000 | Dr Seung Ho Lee, MD
566 Grand Ave,
Ridgefield, NJ 07657-1504
Ph: (201) 313-8000 |
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