| Stacy L Lee, MD | |
|
300 Miron Dr, Southlake, TX 76092-7862 | |
| (817) 749-2000 | |
| (817) 749-2020 |
| Full Name | Stacy L Lee |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 20 Years |
| Location | 300 Miron Dr, Southlake, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225232309 | NPI | - | NPPES |
| BP1-0026377 | Other | INSTITUTIONAL PERMIT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | MD.206367 (Louisiana) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | N2623 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lafayette General Medical Center | Lafayette, LA | Hospital |
| Acadia General Hospital | Crowley, LA | Hospital |
| University Hospital & Clinics | Lafayette, LA | Hospital |
| Titus Regional Medical Center | Mount pleasant, TX | Hospital |
| Jennings American Legion Hospital | Jennings, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lafayette General Medical Center Inc | 4688581457 | 80 |
| Titus County Hospital District | 0143203257 | 110 |
| University Hospital And Clinics, Inc. | 7113161977 | 81 |
| Texas Radiology Associates Llp | 3779578000 | 153 |
| Entity Name | Lafayette General Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649408832 PECOS PAC ID: 4688581457 Enrollment ID: O20100301000064 |
| Entity Name | University Hospital & Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639518087 PECOS PAC ID: 7113161977 Enrollment ID: O20130917000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy L Lee, MD Po Box 92038, Southlake, TX 76092-0101 Ph: (817) 749-2001 | Stacy L Lee, MD 300 Miron Dr, Southlake, TX 76092-7862 Ph: (817) 749-2000 |
Nancy Katherine Rollins, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1571 Main St, Southlake, TX 76092 Phone: 214-926-8780 | |
Fah S Leong, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2140 E Southlake Blvd # L-824, Southlake, TX 76092 Phone: 068-236-5517 | |
Dr. Sarah Khan, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 630 E State Highway 114, Southlake, TX 76092 Phone: 817-329-8910 Fax: 817-329-8911 | |
Jeanne Marsh Joglar, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 470 E State Highway 114, Southlake, TX 76092 Phone: 214-645-9729 Fax: 214-645-9289 |