Miss Jaejung Lee, - Medicare Nurse Practitioner in Brooklyn, NY

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Miss Jaejung Lee, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brooklyn, New York. Her current practice location is 200 Tillary St, Brooklyn, New York. You can reach out to her office (for appointments etc.) via phone at (718) 855-7485.

Miss Jaejung Lee is licensed to practice in New York (license number F402313) 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 1700339967.

Contact Information

Miss Jaejung Lee,
200 Tillary St,
Brooklyn, NY 11201-3026
(718) 855-7485
(718) 855-1317

Map and Direction




Provider's Profile

Full NameMiss Jaejung Lee
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location200 Tillary St, Brooklyn, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700339967
  • Provider Enumeration Date: 07/25/2016
  • Last Update Date: 03/17/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9234557885
  • Enrollment ID: I20200914001149

Medical Identifiers

Medical identifiers for Miss Jaejung Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700339967NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health F402313 (New York)Primary
390200000XStudent In An Organized Health Care Education/training Program 679880 (New York)Secondary

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. Miss Jaejung Lee allows following entities to bill medicare on her behalf.
Entity NameDowntown Bronx Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689618407
PECOS PAC ID: 9638082746
Enrollment ID: O20031106000016
Entity NameNew York City Health And Hospitals Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548208127
PECOS PAC ID: 4183535305
Enrollment ID: O20040322001521
Entity NameHousing Works Health Services Iii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114950151
PECOS PAC ID: 7113199852
Enrollment ID: O20110930000487

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. Miss Jaejung 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
Miss Jaejung Lee,
200 W 89th St, Apt. 3w,
New York, NY 10024-1847

Ph: (714) 331-7205		Miss Jaejung Lee,
200 Tillary St,
Brooklyn, NY 11201-3026

Ph: (718) 855-7485

Reviews and Comments


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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.

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