| Sang H Lee, DO | |
|
7900 Nw 23rd St, Suite 1, Bethany, OK 73008-4961 | |
| (405) 241-7745 | |
| Not Available |
| Full Name | Sang H Lee |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 25 Years |
| Location | 7900 Nw 23rd St, Bethany, Oklahoma |
| 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 |
|---|---|---|---|
| 1003802182 | NPI | - | NPPES |
| 100113780E | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 3864 (Oklahoma) | Primary |
| 207P00000X | Emergency Medicine | 3864 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital Ardmore, Inc | Ardmore, OK | Hospital |
| Creek Nation Community Hospital | Okemah, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mercy Clinic Oklahoma Communities | 1153468921 | 558 |
| Creek Nation Hospital And Clinics | 5698786226 | 322 |
| Entity Name | Emergency Physicians Of Midwest City Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558386474 PECOS PAC ID: 7911960844 Enrollment ID: O20041110001156 |
| Entity Name | Creek Nation Hospital & Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
| Entity Name | Mercy Clinic Oklahoma Communities |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386874550 PECOS PAC ID: 1153468921 Enrollment ID: O20091027000755 |
| Entity Name | Emergency Services Of Oklahoma Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215249891 PECOS PAC ID: 8123209012 Enrollment ID: O20110225000085 |
| Entity Name | Sang H. Lee, D.o., P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215369384 PECOS PAC ID: 4385861830 Enrollment ID: O20140807000974 |
| Mailing Address | Practice Location Address |
|---|---|
| Sang H Lee, DO 7900 Nw 23rd St, Suite 1, Bethany, OK 73008-4961 Ph: (405) 241-7745 | Sang H Lee, DO 7900 Nw 23rd St, Suite 1, Bethany, OK 73008-4961 Ph: (405) 241-7745 |