Jeffrey Yoonsuk Lee, DO is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Ridgefield, Washington. His current practice location is
17600 Ne Delfel Rd, Ridgefield, Washington. You can reach out to his office (for appointments etc.) via phone at
(800) 678-4611.
Jeffrey Yoonsuk Lee is licensed to practice in Georgia (license number 70139) 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 1316145675.
Physician's Profile
| Full Name | Jeffrey Yoonsuk Lee |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 17600 Ne Delfel Rd, Ridgefield, 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: 1316145675
- Provider Enumeration Date: 07/10/2007
- Last Update Date: 02/09/2026
Medicare PECOS Information:
- PECOS PAC ID: 6608977079
- Enrollment ID: I20130712000399
Medical Identifiers
Medical identifiers for Jeffrey Yoonsuk Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316145675 | NPI | - | NPPES |
| 1991698 | Other | PA | HIGHMARK BLUE SHIELD |
| 101999153 | Medicaid | PA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | OS014138 (Pennsylvania) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | OS014138 (Pennsylvania) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 70139 (Georgia) | 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. Jeffrey Yoonsuk Lee allows following entities to bill medicare on his behalf.
| Entity Name | Phoebe Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487899464 PECOS PAC ID: 8426112350 Enrollment ID: O20090121000583 |
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| Entity Name | Roswell Pain Specialists |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1831486430 PECOS PAC ID: 3779759691 Enrollment ID: O20111227000446 |
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| Entity Name | Georgia Pain Management Center Llc |
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| Entity Type | Part B Supplier - Ambulatory Surgical Center |
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| Entity Identifiers | NPI Number: 1801110275 PECOS PAC ID: 3476785049 Enrollment ID: O20140414000592 |
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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. Jeffrey Yoonsuk 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 |
Jeffrey Yoonsuk Lee, DO 5788 Roswell Rd, Atlanta, GA 30328-4904 Ph: (678) 752-7246 | Jeffrey Yoonsuk Lee, DO 17600 Ne Delfel Rd, Ridgefield, WA 98642-6540 Ph: (800) 678-4611 |
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