| Jong Lee, MD | |
|
5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 | |
| (734) 712-0655 | |
| (734) 712-0611 |
| Full Name | Jong Lee |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 5315 Elliott Dr Ste 304, Ypsilanti, Michigan |
| 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 |
|---|---|---|---|
| 1548317811 | NPI | - | NPPES |
| 0727396 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 4301094671 (Michigan) | Secondary |
| 207Q00000X | Family Medicine | 4301094671 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Henry Ford Hospital | Detroit, MI | Hospital |
| Henry Ford West Bloomfield Hospital | West bloomfield, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Henry Ford Health System | 0547178311 | 2304 |
| Entity Name | Henry Ford Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134144801 PECOS PAC ID: 0547178311 Enrollment ID: O20031105000139 |
| Entity Name | Iha Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457408965 PECOS PAC ID: 2466351440 Enrollment ID: O20040108000355 |
| Mailing Address | Practice Location Address |
|---|---|
| Jong Lee, MD 24 Frank Lloyd Wright Dr Lbby J2000, Ann Arbor, MI 48105-9484 Ph: () - | Jong Lee, MD 5315 Elliott Dr Ste 304, Ypsilanti, MI 48197-8634 Ph: (734) 712-0655 |
Ryan Balacanao Huerto, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 200 Arnet St, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Christine Theresa Cigolle, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 200 Arnett St, Suite 200, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Dr. Michael Washburn Smith, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Suite 201, Ypsilanti, MI 48197 Phone: 734-528-5700 Fax: 734-572-9100 | |
Laura Emily Ann Lee, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Arnet St, Ypsilanti, MI 48198 Phone: 734-482-6221 | |
Ross Philip Schmaeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd Ste 100, Ypsilanti, MI 48197 Phone: 734-971-1188 Fax: 734-971-3658 | |
Dr. Robert Breakey, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4940 W Clark Rd, Ste 100, Ypsilanti, MI 48197 Phone: 734-971-1188 Fax: 734-971-3658 | |
Ellen H. Gryniewicz, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3145 W Clark Rd, Suite 401, Ypsilanti, MI 48197 Phone: 734-528-5700 Fax: 734-528-5701 |