Dr Donggeun Lee, DDS in Ridgecrest, CA - Medicare Dentist Provider

Dr Donggeun Lee, DDS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Ridgecrest, California. His current practice location is 1101 N Norma St, Ridgecrest, California. You can reach out to his office (for appointments etc.) via phone at (800) 377-6697.

Dr Donggeun Lee is licensed to practice in California (license number 101355) 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 1275101750.

Contact Information

	Dr Donggeun Lee, DDS
	1101 N Norma St, Ridgecrest, CA 93555-3157
	(800) 377-6697
	Not Available

Healthcare Provider's Profile

Full Name	Dr Donggeun Lee
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	1101 N Norma St, Ridgecrest, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275101750
Provider Enumeration Date: 06/11/2021
Last Update Date: 06/11/2021

Medicare PECOS Information:

PECOS PAC ID: 5496133746
Enrollment ID: I20220527001802

Medical Identifiers

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

Identifier	Type	State	Issuer
1275101750	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	101355 (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 Donggeun 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 Donggeun Lee, DDS 48 Lowland, Irvine, CA 92602-0837 Ph: (213) 800-1228	Dr Donggeun Lee, DDS 1101 N Norma St, Ridgecrest, CA 93555-3157 Ph: (800) 377-6697

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Dentist in Ridgecrest, CA

Anne L Brett, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 900 N Heritage Dr, Suite D, Ridgecrest, CA 93555 Phone: 760-446-9011 Fax: 760-446-9015
Dr. Paul K Mayberry, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 501 W Joyner Ave, Ridgecrest, CA 93555 Phone: 760-446-2800
Dr. Simon Yashari, D.D.S.,M.B.A., ORTHO Dentist Medicare: Medicare Enrolled Practice Location: 1101 N Norma St, Ridgecrest, CA 93555 Phone: 760-446-2233
Dr. Joseph Brent Hansen, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 840 N Norma St, Suite A, Ridgecrest, CA 93555 Phone: 760-375-2622
Dr. Terence John Dominic Chen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1133 Chelsea St, Ridgecrest, CA 93555 Phone: 951-476-4300
Alvin M Vasquez, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 840 N Norma St Ste A, Ridgecrest, CA 93555 Phone: 760-375-2622 Fax: 760-994-1345
Dr. Alice Ahn, Dentist Medicare: Not Enrolled in Medicare Practice Location: 133 E California Ave, Ridgecrest, CA 93555 Phone: 760-375-3988

Dr Donggeun Lee, DDS - Medicare Dentist in Ridgecrest, CA