Mr Johny Ki-won Lee, PA-C - Medicare Physician Assistant in Everett, WA

Mr Johny Ki-won Lee, PA-C is a medicare enrolled "Physician Assistant" in Everett, Washington. He went to Saint Louis University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Community Health Center Of Snohomish County and his current practice location is 3927 Rucker Ave, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 339-5447.

Mr Johny Ki-won Lee is licensed to practice in Washington (license number PA10003263) 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 1598868218.

Contact Information

Mr Johny Ki-won Lee, PA-C
3927 Rucker Ave,
Everett, WA 98201-4833
(425) 339-5447
(425) 259-1185

Map and Direction




Provider's Profile

Full NameMr Johny Ki-won Lee
GenderMale
SpecialityPhysician Assistant
Experience30 Years
Location3927 Rucker Ave, Everett, Washington
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Johny Ki-won Lee attended and graduated from Saint Louis University School Of Medicine in 1994
  NPI Data:
  • NPI Number: 1598868218
  • Provider Enumeration Date: 09/07/2006
  • Last Update Date: 04/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224055587
  • Enrollment ID: I20051026001176

Medical Identifiers

Medical identifiers for Mr Johny Ki-won Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1598868218NPI-NPPES
8409229MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA10003263 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Health Center Of Snohomish County044615200362

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. Mr Johny Ki-won 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
Mr Johny Ki-won Lee, PA-C
Po Box 5127,
Everett, WA 98206-5127

Ph: (425) 339-5422
Mr Johny Ki-won Lee, PA-C
3927 Rucker Ave,
Everett, WA 98201-4833

Ph: (425) 339-5447

Reviews and Comments


Physician Assistant Nurses in Everett, WA

Mr. James Potocsnak, PAC
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2320 Rucker Ave, Everett, WA 98201
Phone: 425-259-5121    Fax: 425-252-1322
Michael James Oliver,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3726 Broadway Ste 201, Everett, WA 98201
Phone: 425-317-9119    
Karen M Tooley, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1330 Rockefeller Ave, Suite 400, Everett, WA 98201
Phone: 425-261-4950    
Gary K. Baal, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1321 Colby Ave, Everett, WA 98201
Phone: 425-261-2000    
Travis B. Adelman, P.A.
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4201 Rucker Ave, Everett, WA 98203
Phone: 425-382-4000    
Ms. Jodi Stickler-ivie, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1321 Colby Ave, Everett, WA 98201
Phone: 425-261-2000    
Fantahun Mulugeta Tedla, P.A-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3927 Rucker Ave, Everett, WA 98201
Phone: 425-339-5422    Fax: 425-339-5444

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.