| Hester Chakyung Lee, PA-C | |
|
600 Grant St, Gary, IN 46402-6001 | |
| (219) 886-4710 | |
| Not Available |
| Full Name | Hester Chakyung Lee |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 600 Grant St, Gary, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184004293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 10001925A (Indiana) | Secondary |
| 363A00000X | Physician Assistant | 085007167 (Illinois) | Primary |
| Entity Name | Cep America LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285103671 PECOS PAC ID: 6608056171 Enrollment ID: O20190214000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Hester Chakyung Lee, PA-C 600 Grant St, Gary, IN 46402-6001 Ph: (219) 886-4710 | Hester Chakyung Lee, PA-C 600 Grant St, Gary, IN 46402-6001 Ph: (219) 886-4710 |
Evelina Zieba, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4000 |
Julie Ann Sedlacek, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4710 |
Anita King, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1100 W 6th Ave, Gary, IN 46402 Phone: 219-885-4264 |
Claudine E Ruzga, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4000 Fax: 904-805-1302 |
Andrea N. Gill, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Grant St, Gary, IN 46402 Phone: 219-886-4289 |
Madeline Jones, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 600 Grant St, Gary, IN 46402 Phone: 708-969-8628 |
Renita White, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 S Grant Street, Gary, IN 46404 Phone: 773-538-7958 |