| Jae Eun Lee, | |
|
201 Park St, Bowling Green, KY 42101-1708 | |
| (270) 783-3315 | |
| (270) 783-3774 |
| Full Name | Jae Eun Lee |
|---|---|
| Gender | Female |
| Speciality | Neurology |
| Experience | 13 Years |
| Location | 201 Park St, Bowling Green, Kentucky |
| 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 |
|---|---|---|---|
| 1346622792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 65547 (Minnesota) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | 54655 (Kentucky) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Medical Center (bowling Green) | Bowling green, KY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gilbert Barbee Moore And Mcilvoy Psc | 4082511167 | 230 |
| Commonwealth Health Corporation, Inc. | 5496667628 | 391 |
| Bowling Green-warren County Community Hospital Corporation | 7719899947 | 65 |
| Entity Name | Gilbert Barbee Moore & Mcilvoy Psc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114948288 PECOS PAC ID: 4082511167 Enrollment ID: O20031217000136 |
| Entity Name | Bowling Green-warren County Community Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942990767 PECOS PAC ID: 7719899947 Enrollment ID: O20230703000877 |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Eun Lee, 201 Park St, Bowling Green, KY 42101-1708 Ph: (270) 781-5111 | Jae Eun Lee, 201 Park St, Bowling Green, KY 42101-1708 Ph: (270) 783-3315 |
Dr. David Tamayo, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 707 E Main St, Bowling Green, KY 42101 Phone: 270-901-5000 Fax: 270-842-6553 | |
Dr. Jose Elavath Paul, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 380 Suwannee Trail Street, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-6553 | |
Dr. Jianhua Zhu, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 201 Park St, Bowling Green, KY 42101 Phone: 270-781-5111 Fax: 270-780-0483 | |
Hareem Arif, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 350 Park St Ste 204, Bowling Green, KY 42101 Phone: 270-843-5103 Fax: 270-843-5104 | |
Mrinal Mullick, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 350 Park St, Suite 204, Bowling Green, KY 42101 Phone: 270-843-5103 Fax: 270-843-5104 | |
Dr. Max Calvin Kinnaman Jr., D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 380 Suwannee Trail St, Bowling Green, KY 42103 Phone: 270-901-5000 Fax: 270-842-5268 |