| Dr John H Lee, MD | |
|
2040 E Mariposa Ave, El Segundo, CA 90245 | |
| (213) 266-5600 | |
| Not Available |
| Full Name | Dr John H Lee |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 31 Years |
| Location | 2040 E Mariposa Ave, El Segundo, California |
| 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 |
|---|---|---|---|
| 1114910239 | NPI | - | NPPES |
| 18279 | Medicaid | ND | |
| 44545 | Other | IA | WELLMARK BCBS |
| 6140715 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 7195 (South Dakota) | Secondary |
| 207Y00000X | Otolaryngology | 31332 (Iowa) | Secondary |
| 207Y00000X | Otolaryngology | PT 13015 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Avera St Mary's Hospital | Pierre, SD | Hospital |
| Avera Hand County Memorial Hospital And Clinic | Miller, SD | Hospital |
| Avera Mckennan Hospital & University Health Center | Sioux falls, SD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Avera St Marys | 0143134965 | 95 |
| Entity Name | Avera Mckennan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699009944 PECOS PAC ID: 0345157103 Enrollment ID: O20031110000117 |
| Entity Name | Avera St Marys |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669457180 PECOS PAC ID: 0143134965 Enrollment ID: O20040225000579 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John H Lee, MD 2040 E Mariposa Ave, El Segundo, CA 90245-5027 Ph: (213) 266-5600 | Dr John H Lee, MD 2040 E Mariposa Ave, El Segundo, CA 90245 Ph: (213) 266-5600 |
Dr. Michael Brett Silberberg, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 601 Hawaii St, El Segundo, CA 90245 Phone: 253-680-8062 |