Dr Sam Lee, OD - Medicare Optometrist in Berkeley, CA

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Dr Sam Lee, OD is a medicare enrolled "Optometrist" provider in Berkeley, California. He went to State University Of New York - State College Optometry and graduated in 2021 and has 4 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Regents Of The University Of California At Berkeley and his current practice location is 3100 San Pablo Ave Fl 4, Berkeley, California. You can reach out to his office (for appointments etc.) via phone at (415) 353-8299.

Dr Sam Lee is licensed to practice in California (license number 34986) 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 1922779404.

Contact Information

Dr Sam Lee, OD
3100 San Pablo Ave Fl 4,
Berkeley, CA 94702-2498
(415) 353-8299
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Sam Lee
GenderMale
SpecialityOptometry
Experience4 Years
Location3100 San Pablo Ave Fl 4, Berkeley, California
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:
  • Dr Sam Lee attended and graduated from State University Of New York - State College Optometry in 2021
  NPI Data:
  • NPI Number: 1922779404
  • Provider Enumeration Date: 09/23/2021
  • Last Update Date: 04/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143618934
  • Enrollment ID: I20211027003257

Medical Identifiers

Medical identifiers for Dr Sam Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922779404NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 34986 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents Of The University Of California At Berkeley862808311053

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. Dr Sam Lee allows following entities to bill medicare on his behalf.
Provider NameAlameda Health System
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1740332931
PECOS PAC ID: 3779494521
Enrollment ID: O20031110000764
Provider NameUniversity Of California San Francisco
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1861578973
PECOS PAC ID: 4486567229
Enrollment ID: O20031212000897
Provider NameUcsf Medical Group Business Services
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1477624104
PECOS PAC ID: 3779497870
Enrollment ID: O20040622001513
Provider NameMendocino Community Health Clinic Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1497961106
PECOS PAC ID: 6305755455
Enrollment ID: O20040826001483
Provider NameRegents Of The University Of California At Berkeley
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1306908058
PECOS PAC ID: 8628083110
Enrollment ID: O20060221000349

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. Dr Sam 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
Dr Sam Lee, OD
17806 Sycamore Ave,
Patterson, CA 95363-9336

Ph: () -		Dr Sam Lee, OD
3100 San Pablo Ave Fl 4,
Berkeley, CA 94702-2498

Ph: (415) 353-8299

Reviews and Comments


Optometrist in Berkeley, CA

Dr. Carl H. Jacobsen, O.D.
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Nancy Nguyen, O.D.
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Phone: 510-643-2793    Fax: 510-643-5109
Dr. Ghazal Naseri, OD
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Anne Tasaki, O.D.
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Phone: 510-642-2020    
Daphne Chan, O.D.
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Phone: 510-642-0945    

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.