| Raymond Lee, MD | |
|
701 N 1st St, Springfield, IL 62781-0001 | |
| (217) 788-3245 | |
| Not Available |
| Full Name | Raymond Lee |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 40 Years |
| Location | 701 N 1st St, Springfield, Illinois |
| 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 |
|---|---|---|---|
| 1093756256 | NPI | - | NPPES |
| 036107307 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 036107307 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Central Montana Medical Center | Lewistown, MT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Montana Medical Facilities Inc | 5395639793 | 21 |
| Entity Name | Central Montana Medical Facilities Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497868814 PECOS PAC ID: 5395639793 Enrollment ID: O20040209000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond Lee, MD 2040 W Iles Ave, Suite C, Springfield, IL 62704-4183 Ph: (217) 789-0668 | Raymond Lee, MD 701 N 1st St, Springfield, IL 62781-0001 Ph: (217) 788-3245 |
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