| Dr Vickie Kyuran Lee, MD | |
|
44320 Premier Plz, Suite #110, Ashburn, VA 20147-5076 | |
| (703) 723-8727 | |
| (703) 723-9787 |
| Full Name | Dr Vickie Kyuran Lee |
|---|---|
| Gender | Female |
| Speciality | Allergy/immunology |
| Experience | 24 Years |
| Location | 44320 Premier Plz, Ashburn, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346423381 | NPI | - | NPPES |
| 3179242 | Other | VA | ONENET |
| 1346423381 | Medicaid | VA | |
| 4569213 | Other | VA | CIGNA |
| 952108 | Other | VA | AETNA |
| D393-0001 | Other | VA | CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 0101242747 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Centers For Advanced Ent Care Llc | 1658647359 | 87 |
| Entity Name | Ent & Allergy Specialists Of Virginia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093992570 PECOS PAC ID: 8921170820 Enrollment ID: O20080710000047 |
| Entity Name | Centers For Advanced Ent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447781620 PECOS PAC ID: 1658647359 Enrollment ID: O20171218002677 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Vickie Kyuran Lee, MD 44320 Premier Plz, Suite #110, Ashburn, VA 20147-5076 Ph: (703) 723-8727 | Dr Vickie Kyuran Lee, MD 44320 Premier Plz, Suite #110, Ashburn, VA 20147-5076 Ph: (703) 723-8727 |
Seyoung Han, PA-C Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 20955 Professional Plz Ste 300, Ashburn, VA 20147 Phone: 571-246-6323 Fax: 888-823-5456 | |
Dr. Jiun Yoon, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 20955 Professional Plz Ste 300, Ashburn, VA 20147 Phone: 571-246-6323 Fax: 888-823-5456 |