Jack Lee, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Newtown, Pennsylvania. He went to University Of Virginia School Of Medicine and graduated in 2018 and has 7 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Alliance Dermatology Physicians Pc, Alliance Dermatology Physicians Pc and his current practice location is
11 Friends Ln Ste 115, Newtown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(609) 799-1600.
Jack Lee is licensed to practice in Pennsylvania (license number MD482446) 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 1538653217.
Physician's Profile
| Full Name | Jack Lee |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 7 Years |
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| Location | 11 Friends Ln Ste 115, Newtown, Pennsylvania |
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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:
- Jack Lee attended and graduated from University Of Virginia School Of Medicine in 2018
NPI Data:
- NPI Number: 1538653217
- Provider Enumeration Date: 06/18/2018
- Last Update Date: 02/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668721325
- Enrollment ID: I20230914001415
Medical Identifiers
Medical identifiers for Jack Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538653217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 25MA11878200 (New Jersey) | Secondary |
| 207N00000X | Dermatology | MD482446 (Pennsylvania) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 25MA11878200 (New Jersey) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | MD482446 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Alliance Dermatology Physicians Pc | 9133553449 | 4 |
| Alliance Dermatology Physicians Pc | 9133553449 | 4 |
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. Jack Lee allows following entities to bill medicare on his behalf.
| Entity Name | Alliance Dermatology Physicians Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093368185
PECOS PAC ID: 9133553449
Enrollment ID: O20191226000023 |
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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. Jack 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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Jack Lee, MD
11 Friends Ln Ste 115,
Newtown, PA 18940-1885
Ph: (609) 799-1600 | Jack Lee, MD
11 Friends Ln Ste 115,
Newtown, PA 18940-1885
Ph: (609) 799-1600 |
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