Nellie Lee, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Ridgefield Park, New Jersey. Her current practice location is
190 Euclid Ave, Ridgefield Park, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 440-3366.
Nellie Lee is licensed to practice in New Jersey (license number 25MA02733100) 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 1104034107.
Physician's Profile
| Full Name | Nellie Lee |
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| Gender | Female |
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| Speciality | Internal Medicine - Cardiovascular Disease |
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| Location | 190 Euclid Ave, Ridgefield Park, New Jersey |
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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: 1104034107
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2567480338
- Enrollment ID: I20051110000101
Medical Identifiers
Medical identifiers for Nellie Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1104034107 | NPI | - | NPPES |
| 2998301 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 25MA02733100 (New Jersey) | 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. Nellie Lee allows following entities to bill medicare on her behalf.
| Entity Name | Holy Name Hospital Ekg Interpretation Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699805978 PECOS PAC ID: 5294798849 Enrollment ID: O20041105000062 |
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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. Nellie 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 |
Nellie Lee, MD 190 Euclid Ave, Ridgefield Park, NJ 07660-1742 Ph: (201) 440-3366 | Nellie Lee, MD 190 Euclid Ave, Ridgefield Park, NJ 07660-1742 Ph: (201) 440-3366 |
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