| Dr Jason Dole Lee, MD | |
|
1418 Cross St, Ste 160, Shiloh, IL 62269-2914 | |
| (618) 607-1340 | |
| (618) 433-6492 |
| Full Name | Dr Jason Dole Lee |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 16 Years |
| Location | 1418 Cross St, Shiloh, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851618995 | NPI | - | NPPES |
| 200057311 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | 036137885 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Memorial Hospital | Belleville, IL | Hospital |
| Barnes Jewish Hospital | Saint louis, MO | Hospital |
| Hshs St Elizabeth's Hospital | O fallon, IL | Hospital |
| Sparta Community Hospital | Sparta, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington University Physicians In Illinois Inc | 4789945163 | 168 |
| Washington University | 9830008770 | 2968 |
| Entity Name | Washington University Physicians in Illinois Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477076263 PECOS PAC ID: 4789945163 Enrollment ID: O20180227002018 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jason Dole Lee, MD Po Box 7412011, Chicago, IL 60674-2011 Ph: (618) 607-1340 | Dr Jason Dole Lee, MD 1418 Cross St, Ste 160, Shiloh, IL 62269-2914 Ph: (618) 607-1340 |
Umar Tariq, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1404 Cross St, Shiloh, IL 62269 Phone: 954-606-5225 |
Dr. Susan J Laduzinsky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1418 Cross St, Ste 160, Shiloh, IL 62269 Phone: 618-607-1340 Fax: 618-433-6492 |