Eun-yeop Lee, PHD is a medicare enrolled "Psychologist - Clinical" provider in Mokena, Illinois. Her current practice location is
9500 Bormet Dr Ste 304, Mokena, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 469-1500.
Eun-yeop Lee is licensed to practice in Illinois (license number 071010147) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982970836.
Healthcare Provider's Profile
| Full Name | Eun-yeop Lee |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 9500 Bormet Dr Ste 304, Mokena, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982970836
- Provider Enumeration Date: 03/26/2012
- Last Update Date: 09/14/2026
Medicare PECOS Information:
- PECOS PAC ID: 1658709100
- Enrollment ID: I20200316000786
Medical Identifiers
Medical identifiers for Eun-yeop Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982970836 | NPI | - | NPPES |
| 14881 | Other | | PSYPACT APIT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | 9486 (Massachusetts) | Secondary |
| 103T00000X | Psychologist | 14881 (NU) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071010147 (Illinois) | Primary |
| 103TC0700X | Psychologist - Clinical | PSY-2026-0085 (New Mexico) | Secondary |
| 103TS0200X | Psychologist - School | 39443 (Florida) | Secondary |
| 103K00000X | Behavior Analyst | 12040537 (Massachusetts) | 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. Eun-yeop Lee allows following entities to bill medicare on her behalf.
| Entity Name | Rush University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093819542
PECOS PAC ID: 5496658874
Enrollment ID: O20040202000228 |
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| Entity Name | Edgewood Clinical Services P.C. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295914646
PECOS PAC ID: 3971963901
Enrollment ID: O20230721001228 |
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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. Eun-yeop 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 |
|---|
Eun-yeop Lee, PHD
3500 Depauw Blvd Ste 3070,
Indianapolis, IN 46268-6135
Ph: (855) 324-0885 | Eun-yeop Lee, PHD
9500 Bormet Dr Ste 304,
Mokena, IL 60448-8399
Ph: (815) 469-1500 |
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