Dr Bruce H Lee, DDS - Medicare Dentist in Portola, CA

Dr Bruce H Lee, DDS is a medicare enrolled "Dentist - General Practice" provider in Portola, California. His current practice location is 181 S Gulling St, Portola, California. You can reach out to his office (for appointments etc.) via phone at (530) 832-4461.

Dr Bruce H Lee is licensed to practice in California (license number 25274) 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 1568563807.

Contact Information

Dr Bruce H Lee, DDS
181 S Gulling St,
Portola, CA 96122-9609
(530) 832-4461
Not Available



Healthcare Provider's Profile

Full NameDr Bruce H Lee
GenderMale
SpecialityDentist - General Practice
Location181 S Gulling St, Portola, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568563807
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3375840382
  • Enrollment ID: I20160317002245

Medical Identifiers

Medical identifiers for Dr Bruce H Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568563807NPI-NPPES
25274OtherCALINCENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 25274 (California)Primary

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 Bruce H 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 Bruce H Lee, DDS
181 S Gulling St,
Portola, CA 96122-9609

Ph: (530) 832-4461
Dr Bruce H Lee, DDS
181 S Gulling St,
Portola, CA 96122-9609

Ph: (530) 832-4461

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Dentist in Portola, CA

Derry L. Hildebrand Jr., D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 296 W Sierra Ave., Ste 1, Portola, CA 96122
Phone: 530-832-0200    Fax: 530-832-0900
Dr. Mario G. Garibotti, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 145 N Pine St, Portola, CA 96122
Phone: 530-832-4425    Fax: 530-832-1058

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