Korinne Lee, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Surprise, Arizona. Her current practice location is
14780 W Mountain View Blvd Ste 120, Surprise, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 215-9460.
Korinne Lee is licensed to practice in Arizona (license number 240576) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1790306744.
Physician's Profile
| Full Name | Korinne Lee |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 14780 W Mountain View Blvd Ste 120, Surprise, Arizona |
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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: 1790306744
- Provider Enumeration Date: 04/30/2020
- Last Update Date: 03/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 5496177487
- Enrollment ID: I20200619002516
Medical Identifiers
Medical identifiers for Korinne Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1790306744 | NPI | - | NPPES |
| 1790306744 | Other | AZ | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 240576 (Arizona) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 240576 (Arizona) | 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. Korinne Lee allows following entities to bill medicare on her behalf.
| Entity Name | City Of Hope Medical Group Of Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609026806 PECOS PAC ID: 2264593474 Enrollment ID: O20081205000793 |
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| Entity Name | West Valley Endocrinology Diabetes And Metabolism Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245758051 PECOS PAC ID: 0244596682 Enrollment ID: O20180131000447 |
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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. Korinne 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 |
Korinne Lee, FNP 14200 W Celebrate Life Way, Goodyear, AZ 85338-3007 Ph: (623) 466-4073 | Korinne Lee, FNP 14780 W Mountain View Blvd Ste 120, Surprise, AZ 85374-7280 Ph: (623) 215-9460 |
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