Jivianne Kristine Tan Lee, MD in Santa Monica, CA

Jivianne Kristine Tan Lee, MD is a medicare enrolled "Otolaryngology - Plastic Surgery Within The Head & Neck" physician in Santa Monica, California. She went to University Of California, Geffen School Of Medicine and graduated in 1998 and has 26 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice The Regents Of The University Of California and her current practice location is 1131 Wilshire Blvd Ste 302, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (424) 259-6559.

Jivianne Kristine Tan Lee is licensed to practice in California (license number A72248) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1184772972.

Contact Information

	Jivianne Kristine Tan Lee, MD
	1131 Wilshire Blvd Ste 302, Santa Monica, CA 90401-2061
	(424) 259-6559
	(310) 319-3877

Map and Direction

Physician's Profile

Full Name	Jivianne Kristine Tan Lee
Gender	Female
Speciality	Otolaryngology
Experience	26 Years
Location	1131 Wilshire Blvd Ste 302, Santa Monica, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jivianne Kristine Tan Lee attended and graduated from University Of California, Geffen School Of Medicine in 1998

NPI Data:

NPI Number: 1184772972
Provider Enumeration Date: 01/08/2007
Last Update Date: 12/04/2019

Medicare PECOS Information:

PECOS PAC ID: 1355300591
Enrollment ID: I20090216000262

Medical Identifiers

Medical identifiers for Jivianne Kristine Tan Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184772972	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YX0007X	Otolaryngology - Plastic Surgery Within The Head & Neck	A72248 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Santa Monica - Ucla Med Ctr & Orthopaedic Hospital	Santa monica, CA	Hospital
Ronald Reagan Ucla Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Regents Of The University Of California	6406749308	31

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. Jivianne Kristine Tan Lee allows following entities to bill medicare on her behalf.

Entity Name	The Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935251 PECOS PAC ID: 6406749308 Enrollment ID: O20040204000971

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. Jivianne Kristine Tan 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
Jivianne Kristine Tan Lee, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () -	Jivianne Kristine Tan Lee, MD 1131 Wilshire Blvd Ste 302, Santa Monica, CA 90401-2061 Ph: (424) 259-6559

Reviews and Comments

Otolaryngology Doctors in Santa Monica, CA

Dr. Floyd Monte Purcelli, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd, #465, Santa Monica, CA 90404 Phone: 310-829-0990 Fax: 310-829-0280
Cong Ran, Otolaryngology Medicare: Medicare Enrolled Practice Location: 1317 5th St Ste 300, Santa Monica, CA 90401 Phone: 310-434-0044
Mr. Eddie A Ramirez, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1131 Wilshire Blvd Ste 302, Santa Monica, CA 90401 Phone: 424-259-6559 Fax: 310-319-3877
Omid Benjamin Mehdizadeh, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2125 Arizona Ave, Santa Monica, CA 90404 Phone: 310-829-8701 Fax: 310-315-4062
Dr. Sheldon N. Klausner, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 2001 Santa Monica Blvd, Ste 870-w, Santa Monica, CA 90404 Phone: 310-829-1703 Fax: 310-494-9450
Payam Daneshrad, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 2811 Wilshire Blvd, Suite 800, Santa Monica, CA 90403 Phone: 310-306-3737 Fax: 310-306-1240

Jivianne Kristine Tan Lee, MD - Medicare Otolaryngology in Santa Monica, CA