Kyung Lee, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Tualitin, Oregon. He graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Western Psychological And Counseling Services Llc and his current practice location is
18765 Sw Boones Ferry Rd Suites 100, 125, 150, 300, 37, Tualitin, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 612-1000.
Kyung Lee is licensed to practice in Oregon (license number 10034397) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053072355.
Provider's Profile
| Full Name | Kyung Lee |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 18765 Sw Boones Ferry Rd Suites 100, 125, 150, 300, 37, Tualitin, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kyung Lee graduated from nursing school in 2021
NPI Data:
- NPI Number: 1053072355
- Provider Enumeration Date: 01/07/2022
- Last Update Date: 01/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597143040
- Enrollment ID: I20250326001336
Medical Identifiers
Medical identifiers for Kyung Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053072355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 10034397 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Western Psychological And Counseling Services Llc | 7719975085 | 204 |
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. Kyung Lee allows following entities to bill medicare on his behalf.
| Entity Name | Western Psychological And Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912008178
PECOS PAC ID: 7719975085
Enrollment ID: O20040505000049 |
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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. Kyung 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 |
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Kyung Lee, PMHNP-BC
18765 Sw Boones Ferry Rd Suites 100, 125, 150, 300, 37,
Tualatin, OR 97062
Ph: (503) 612-1000 | Kyung Lee, PMHNP-BC
18765 Sw Boones Ferry Rd Suites 100, 125, 150, 300, 37,
Tualitin, OR 97062
Ph: (503) 612-1000 |
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