Haki K Lee, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Vancouver, Washington. His current practice location is
14406 Ne 20th Ave, Vancouver, Washington. You can reach out to his office (for appointments etc.) via phone at
(800) 813-2000.
Haki K Lee is licensed to practice in Oregon (license number 201900881NP-PP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710442926.
Physician's Profile
| Full Name | Haki K Lee |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 14406 Ne 20th Ave, Vancouver, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710442926
- Provider Enumeration Date: 02/01/2019
- Last Update Date: 04/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820338825
- Enrollment ID: I20190328001190
Medical Identifiers
Medical identifiers for Haki K Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1710442926 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 201900881 (Oregon) | Secondary |
| 207R00000X | Internal Medicine | 201900881NP-PP (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 201900881NP-PP (Oregon) | 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. Haki K Lee allows following entities to bill medicare on his behalf.
| Entity Name | Kaiser Foundation Health Plan Of The Northwest |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
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| Entity Name | Rogue Valley Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699761932 PECOS PAC ID: 1850374240 Enrollment ID: O20040608000628 |
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| Entity Name | Icco Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
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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. Haki K 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 |
Haki K Lee, FNP-C 2900 Doctors Park Dr Ste 200, Medford, OR 97504-8198 Ph: (541) 282-2200 | Haki K Lee, FNP-C 14406 Ne 20th Ave, Vancouver, WA 98686-1448 Ph: (800) 813-2000 |
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