Miss Ji Y Lee, PA-C is a medicare enrolled "Physician Assistant" in Longs, South Carolina. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Southern Dermatology Pa and her current practice location is
2237 Highway 9 E, Longs, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(877) 231-3376.
Miss Ji Y Lee is licensed to practice in South Carolina (license number MPA.5161) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1326682576.
Provider's Profile
| Full Name | Miss Ji Y Lee |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 4 Years |
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| Location | 2237 Highway 9 E, Longs, South Carolina |
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| Accepts Medicare Assignments | Yes. She 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:
- Miss Ji Y Lee graduated from nursing school in 2021
NPI Data:
- NPI Number: 1326682576
- Provider Enumeration Date: 10/31/2019
- Last Update Date: 11/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810393428
- Enrollment ID: I20210908000186
Medical Identifiers
Medical identifiers for Miss Ji Y Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1326682576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 0010-11435 (North Carolina) | Secondary |
| 363A00000X | Physician Assistant | MPA.5161 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern Dermatology Pa | 7012971609 | 49 |
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 Ji Y 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 |
|---|
Miss Ji Y Lee, PA-C
1306 Concourse Dr Ste 201,
Linthicum Heights, MD 21090-1033
Ph: () - | Miss Ji Y Lee, PA-C
2237 Highway 9 E,
Longs, SC 29568-5701
Ph: (877) 231-3376 |
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