Sangwon Lee, - Medicare Nurse Anesthetist, Certified Registered in Glendale, AZ

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Sangwon Lee, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Glendale, Arizona. His current practice location is 18701 N 67th Ave, Glendale, Arizona. You can reach out to his office (for appointments etc.) via phone at (623) 561-1000.

Sangwon Lee is licensed to practice in Arizona (license number 277046) 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 1699595215.

Contact Information

Sangwon Lee,
18701 N 67th Ave,
Glendale, AZ 85308-7100
(623) 561-1000
Not Available

Map and Direction




Provider's Profile

Full NameSangwon Lee
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location18701 N 67th Ave, Glendale, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699595215
  • Provider Enumeration Date: 10/17/2024
  • Last Update Date: 10/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062946858
  • Enrollment ID: I20241115002787

Medical Identifiers

Medical identifiers for Sangwon Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699595215NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 277046 (Arizona)Primary

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. Sangwon Lee allows following entities to bill medicare on his behalf.
Entity NameGreater Anesthesia Solutions
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124430244
PECOS PAC ID: 9234357906
Enrollment ID: O20140822000525

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. Sangwon 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
Sangwon Lee,
7865 W Bell Rd # 1066,
Peoria, AZ 85382-3803

Ph: () -		Sangwon Lee,
18701 N 67th Ave,
Glendale, AZ 85308-7100

Ph: (623) 561-1000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Glendale, AZ

Ms. Terren Courtney Wortham, DNP, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 623-561-1000    
Juan N Aliaga, DNP, APRN-CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 623-561-1000    
Jason Scott Herndon, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 623-561-1000    
Brandi Norman,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 19555 N 59th Ave, Glendale, AZ 85308
Phone: 623-572-3200    
Gina S. Kozul,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18555 N 79th Ave Bldg C, Glendale, AZ 85308
Phone: 623-776-2500    
Camarae Mikaela Mather, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 18701 N 67th Ave, Glendale, AZ 85308
Phone: 602-653-3012    
Morgan Robert Woodmansee, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 19555 N 59th Ave, Glendale, AZ 85308
Phone: 623-572-3200    

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.