Dr David C Lee, PHD, JD in Madison, WI - Medicare Psychologist Provider

Dr David C Lee, PHD, JD is a medicare enrolled "Psychologist - Clinical" provider in Madison, Wisconsin. His current practice location is 1713 Camelot Dr, Madison, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 301-1047.

Dr David C Lee is licensed to practice in Wisconsin (license number 2407-057) 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 1003905704.

Contact Information

	Dr David C Lee, PHD, JD
	1713 Camelot Dr, Madison, WI 53705-1005
	(608) 301-1047
	(608) 301-1390

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David C Lee
Gender	Male
Speciality	Psychologist - Clinical
Location	1713 Camelot Dr, Madison, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003905704
Provider Enumeration Date: 10/12/2006
Last Update Date: 11/03/2016

Medicare PECOS Information:

PECOS PAC ID: 9436254976
Enrollment ID: I20070412000127

Medical Identifiers

Medical identifiers for Dr David C Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003905704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	2407-057 (Wisconsin)	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. Dr David C Lee allows following entities to bill medicare on his behalf.

Entity Name	State Of Wisconsin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437253648 PECOS PAC ID: 9234181751 Enrollment ID: O20050214000153

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 David C 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
Dr David C Lee, PHD, JD 1713 Camelot Dr, Unit 412, Madison, WI 53705-1005 Ph: (608) 334-3309	Dr David C Lee, PHD, JD 1713 Camelot Dr, Madison, WI 53705-1005 Ph: (608) 301-1047

Reviews and Comments

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Dr David C Lee, PHD, JD - Medicare Psychologist in Madison, WI