| Cheol Woong Lee, | |
|
47 Ball Park Ln, Hicksville, NY 11801-4501 | |
| (646) 236-8847 | |
| (516) 934-0246 |
| Full Name | Cheol Woong Lee |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 47 Ball Park Ln, Hicksville, New York |
| 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 |
|---|---|---|---|
| 1881086874 | NPI | - | NPPES |
| 04100538 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F339369 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prime Home Health Services, Llc | Brooklyn, NY | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Medical Services Of Northeastern Queens Pllc | 4587013446 | 32 |
| Entity Name | Peyman Younesi MD PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891053328 PECOS PAC ID: 4981860202 Enrollment ID: O20120731000499 |
| Entity Name | Fresh Meadows Physician Practice PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720775083 PECOS PAC ID: 0941657811 Enrollment ID: O20231114003265 |
| Entity Name | Medical Services of Northeastern Queens PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184311441 PECOS PAC ID: 4587013446 Enrollment ID: O20231218002332 |
| Mailing Address | Practice Location Address |
|---|---|
| Cheol Woong Lee, 47 Ball Park Ln, Hicksville, NY 11801-4501 Ph: (646) 236-8847 | Cheol Woong Lee, 47 Ball Park Ln, Hicksville, NY 11801-4501 Ph: (646) 236-8847 |
Julie Khanna, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 140 S Fordham Rd, Hicksville, NY 11801 Phone: 646-330-1072 Fax: 516-796-4109 |
Bryan Paul Jean-baptiste, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 950 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 718-552-6277 |
Irina Levy, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 950 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 516-822-6111 |
Lynn Johnson, RNC, MS, OGNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 400 S Oyster Bay Rd, Suite 106, Hicksville, NY 11801 Phone: 516-937-3881 |
Stacyann Cox, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 950 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 516-396-2740 |
Francis Maneja, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Bethpage Rd, Hicksville, NY 11801 Phone: 631-641-7851 |
Tresha D Maragh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 S Oyster Bay Rd, Hicksville, NY 11801 Phone: 516-822-6111 |