| John Yongkwon Lee, MD | |
|
1095 Marshall Way, Suite 202, Placerville, CA 95667-5722 | |
| (530) 626-3682 | |
| Not Available |
| Full Name | John Yongkwon Lee |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 30 Years |
| Location | 1095 Marshall Way, Placerville, 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 |
|---|---|---|---|
| 1952742207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | A126392 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Adventist Health Physicians Network | 3274580972 | 572 |
| Entity Name | Adventist Health Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
| Mailing Address | Practice Location Address |
|---|---|
| John Yongkwon Lee, MD Po Box 45680, San Francisco, CA 94145-0680 Ph: (530) 626-3682 | John Yongkwon Lee, MD 1095 Marshall Way, Suite 202, Placerville, CA 95667-5722 Ph: (530) 626-3682 |
Dr. Robert Francis Kissling Iii, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7040 Amber Way, Placerville, CA 95667 Phone: 909-213-0806 | |
Ying Ming Benjamin Tan, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1095 Marshall Way Ste 202, Placerville, CA 95667 Phone: 530-626-3682 Fax: 530-748-0325 | |
Delandy Mcconnell, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1095 Marshall Way Ste 202, Placerville, CA 95667 Phone: 530-626-3682 Fax: 530-748-0325 | |
Richard Detwiler, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1095 Marshall Way, Suite 202, Placerville, CA 95667 Phone: 530-626-3682 | |
Robin L Locke, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1095 Marshall Way, Suite 202, Placerville, CA 95667 Phone: 530-626-3682 |