Mr Kyung Woon Lee, FNP in Redding, CA - Medicare Nurse Practitioner

Mr Kyung Woon Lee, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Redding, California. His current practice location is 1035 Placer St, Redding, California. You can reach out to his office (for appointments etc.) via phone at (530) 246-5883.

Mr Kyung Woon Lee is licensed to practice in California (license number NP95006454) 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 1295142149.

Contact Information

	Mr Kyung Woon Lee, FNP
	1035 Placer St, Redding, CA 96001-1170
	(530) 246-5883
	(530) 244-7846

Map and Direction

Provider's Profile

Full Name	Mr Kyung Woon Lee
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1035 Placer St, Redding, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295142149
Provider Enumeration Date: 07/11/2014
Last Update Date: 09/18/2025

Medicare PECOS Information:

PECOS PAC ID: 5092034447
Enrollment ID: I20211026003438

Medical Identifiers

Medical identifiers for Mr Kyung Woon Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295142149	NPI	-	NPPES
NP95006454	Other	CA	FAMILY AND MENTAL HEALTH NURSE PRACTITIONER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95006454 (California)	Primary
363LF0000X	Nurse Practitioner - Family	NP95006454 (California)	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. Mr Kyung Woon Lee allows following entities to bill medicare on his behalf.

Entity Name	Mountain Valleys Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356438261 PECOS PAC ID: 4284685538 Enrollment ID: O20050429000424

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 Kyung Woon 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
Mr Kyung Woon Lee, FNP 1035 Placer St, Redding, CA 96001-1170 Ph: (530) 246-5883	Mr Kyung Woon Lee, FNP 1035 Placer St, Redding, CA 96001-1170 Ph: (530) 246-5883

Reviews and Comments

Nurse Practitioner Nurses in Redding, CA

Taylor Jones, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1255 Liberty St, Redding, CA 96001 Phone: 530-246-2467
Elaine Isabella Edwards, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 415-606-4501
Kathleen Toney, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838
Laurel Bennett, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 317 Lake Blvd Ste A, Redding, CA 96003 Phone: 530-337-5750
Julie Schock, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1035 Placer St, Redding, CA 96001 Phone: 530-246-5710 Fax: 530-241-7838
Kristin Marie Trevor, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1255 Liberty St, Redding, CA 96001 Phone: 530-246-2467 Fax: 530-242-9460
Brian A Pongracz, ACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2624 Edith Ave, Redding, CA 96001 Phone: 530-806-1190 Fax: 530-229-7946

Mr Kyung Woon Lee, FNP - Medicare Nurse Practitioner in Redding, CA