Tracy Jae Won Lee, MD in Mineola, NY

Tracy Jae Won Lee, MD is a medicare enrolled "Radiology - Body Imaging" physician in Mineola, New York. Her current practice location is 120 Mineola Blvd, Ste 10 Lower Level, Mineola, New York. You can reach out to her office (for appointments etc.) via phone at (516) 663-4510.

Tracy Jae Won Lee is licensed to practice in New York (license number 230112) 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 1386688984.

Contact Information

	Tracy Jae Won Lee, MD
	120 Mineola Blvd, Ste 10 Lower Level, Mineola, NY 11501-4073
	(516) 663-4510
	(516) 663-3698

Map and Direction

Physician's Profile

Full Name	Tracy Jae Won Lee
Gender	Female
Speciality	Radiology - Body Imaging
Location	120 Mineola Blvd, Mineola, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386688984
Provider Enumeration Date: 06/15/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3274555404
Enrollment ID: I20051230000425

Medical Identifiers

Medical identifiers for Tracy Jae Won Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386688984	NPI	-	NPPES
02730436	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	230112 (New York)	Primary
2085B0100X	Radiology - Body Imaging	230112 (New York)	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. Tracy Jae Won Lee allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

Entity Name	Southside Faculty Medical Affiliates University Faculty Prac
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20210608003649

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. Tracy Jae Won 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
Tracy Jae Won Lee, MD Gpo Box 27686, New York, NY 10087-7686 Ph: (888) 220-1235	Tracy Jae Won Lee, MD 120 Mineola Blvd, Ste 10 Lower Level, Mineola, NY 11501-4073 Ph: (516) 663-4510

Reviews and Comments

Radiology Doctors in Mineola, NY

Dr. Joseph Patrick Mazzie, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 10 Lower Level, Mineola, NY 11501 Phone: 516-663-4510 Fax: 516-663-3698
Jonathan A Haas, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 264 Old Country Rd, Mineola, NY 11501 Phone: 516-663-2501 Fax: 516-663-8558
Anca-oana Kranz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 10 Lower Level, Mineola, NY 11501 Phone: 516-663-4510 Fax: 516-663-3698
Dr. David W Ebling, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Radiation Oncology, Mineola, NY 11501 Phone: 516-663-2501 Fax: 516-663-8558
Dr. Seth Robert Blacksburg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 259 1st St, Dept: Radiation Oncology, Mineola, NY 11501 Phone: 516-663-2501 Fax: 516-663-8558
Donald B Price, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 120 Mineola Blvd, Suite 10 Lower Level, Mineola, NY 11501 Phone: 516-663-4510 Fax: 516-663-3698
Ahmad Hashmi, Radiology Medicare: Medicare Enrolled Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2376

Tracy Jae Won Lee, MD - Medicare Radiology in Mineola, NY