Kangweon Lee, FNP-BC - Medicare Nurse Practitioner in Beverly, MA

Kangweon Lee, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Beverly, Massachusetts. His current practice location is 19 Dodge St, Beverly, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (857) 344-0545.

Kangweon Lee is licensed to practice in Massachusetts (license number RN2340947) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1720673544.

Contact Information

Kangweon Lee, FNP-BC
19 Dodge St,
Beverly, MA 01915-1705
(857) 344-0545
Not Available

Map and Direction




Provider's Profile

Full NameKangweon Lee
GenderMale
SpecialityNurse Practitioner - Family
Location19 Dodge St, Beverly, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720673544
  • Provider Enumeration Date: 03/03/2021
  • Last Update Date: 08/24/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2860847753
  • Enrollment ID: I20231012002470

Medical Identifiers

Medical identifiers for Kangweon Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720673544NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN2340947 (Massachusetts)Secondary
363L00000XNurse Practitioner RN2340947 (Massachusetts)Secondary
363LF0000XNurse Practitioner - Family RN2340947 (Massachusetts)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. Kangweon Lee allows following entities to bill medicare on his behalf.
Entity NameMolina Care Connections, Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407243223
PECOS PAC ID: 5799062881
Enrollment ID: O20220323001711

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. Kangweon 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 AddressPractice Location Address
Kangweon Lee, FNP-BC
19 Dodge St,
Beverly, MA 01915-1705

Ph: () -
Kangweon Lee, FNP-BC
19 Dodge St,
Beverly, MA 01915-1705

Ph: (857) 344-0545

Reviews and Comments


Nurse Practitioner Nurses in Beverly, MA

Geena Elda Tiano,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 50 Dodge St, Beverly, MA 01915
Phone: 978-922-2171    
Ms. Linda G Haynes, PNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 85 Herrick St, The Lynch Building, Beverly, MA 01915
Phone: 978-921-2899    Fax: 978-921-2968
Dr. Judith Lorraine Webb, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 62 West St, Beverly, MA 01915
Phone: 339-224-7862    
Julie Connick, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 900 Cummings Ctr, Suite 107w, Beverly, MA 01915
Phone: 978-927-1859    Fax: 978-774-1062
Mrs. Dallas M Walsh, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Cummings Ctr, Suite 126q, Beverly, MA 01915
Phone: 978-524-8181    
Ms. Luanne Marie Off, FNP, MSN, MPH, RN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 19 Dodge Street, Minuteclinic, Beverly, MA 01915
Phone: 866-389-2727    
Dr. Gina Lefkowitz, DNP, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 85 Herrick St, Beverly, MA 01915
Phone: 978-816-3700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.