Hyun San Lee, DMD in Bangor, ME - Medicare Dentist Provider

Hyun San Lee, DMD is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Bangor, Maine. Her current practice location is 1048 Union St, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 404-8100.

Hyun San Lee is licensed to practice in Maine (license number DEN4861) 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 1780262568.

Contact Information

	Hyun San Lee, DMD
	1048 Union St, Bangor, ME 04401-3016
	(207) 404-8100
	(207) 947-0435

Healthcare Provider's Profile

Full Name	Hyun San Lee
Gender	Female
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	1048 Union St, Bangor, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780262568
Provider Enumeration Date: 04/01/2021
Last Update Date: 05/05/2021

Medicare PECOS Information:

PECOS PAC ID: 9931516077
Enrollment ID: I20210407002116

Medical Identifiers

Medical identifiers for Hyun San Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780262568	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	DEN4861 (Maine)	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. Hyun San 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
Hyun San Lee, DMD Po Box 1599, Bangor, ME 04402-1599 Ph: (207) 404-8200	Hyun San Lee, DMD 1048 Union St, Bangor, ME 04401-3016 Ph: (207) 404-8100

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Dentist in Bangor, ME

Dr. David Christopher Haluska, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12 Stillwater Ave, Ste 6, Bangor, ME 04401 Phone: 207-941-6550 Fax: 207-973-5932
Dr. Arlene A Asante, Dentist Medicare: Medicare Enrolled Practice Location: 1048 Union St, Bangor, ME 04401 Phone: 207-992-2152 Fax: 207-947-0435
Spencer Valley, Dentist Medicare: Not Enrolled in Medicare Practice Location: 62 Corporate Dr, Bangor, ME 04401 Phone: 207-947-7503
Mark Edward Eggleton, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 715 Hammond St, Bangor, ME 04401 Phone: 207-945-6493 Fax: 207-947-6003
Edward R Zanca, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1048 Union St, Bangor, ME 04401 Phone: 207-992-2152 Fax: 207-947-0435
Dr. William Alexander Deighan, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 37 Bower St, Bangor, ME 04401 Phone: 207-945-5691
Dr. Louise Desjardins King, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 151 State St, Bangor, ME 04401 Phone: 207-945-6036 Fax: 207-942-1548

Hyun San Lee, DMD - Medicare Dentist in Bangor, ME