Haki K Lee, FNP-C - Medicare Nurse Practitioner in Gresham, OR

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Haki K Lee, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Gresham, Oregon. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Icco Llc and his current practice location is 2850 Se Powell Valley Rd, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 666-5050.

Haki K Lee is licensed to practice in Oregon (license number 201900881NP-PP) 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 1710442926.

Contact Information

Haki K Lee, FNP-C
2850 Se Powell Valley Rd,
Gresham, OR 97080-1494
(503) 666-5050
(503) 666-1162

Map and Direction




Physician's Profile

Full NameHaki K Lee
GenderMale
SpecialityNurse Practitioner
Experience8 Years
Location2850 Se Powell Valley Rd, Gresham, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Haki K Lee graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1710442926
  • Provider Enumeration Date: 02/01/2019
  • Last Update Date: 05/21/2026
  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.
IdentifierTypeStateIssuer
1710442926NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 201900881NP-PP (Oregon)Secondary
363LF0000XNurse Practitioner - Family 201900881NP-PP (Oregon)Primary
207Q00000XFamily Medicine 201900881 (Oregon)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icco Llc1355406729134

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 NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799
Entity NameRogue Valley Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699761932
PECOS PAC ID: 1850374240
Enrollment ID: O20040608000628
Entity NameIcco Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407004757
PECOS PAC ID: 1355406729
Enrollment ID: O20090218000510

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 AddressPractice Location Address
Haki K Lee, FNP-C
Po Box 3777,
Portland, OR 97208-3777

Ph: (503) 413-3900		Haki K Lee, FNP-C
2850 Se Powell Valley Rd,
Gresham, OR 97080-1494

Ph: (503) 666-5050

Reviews and Comments



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.