Dr Seung Jae Lee, DMD - Medicare Dentist in Manteca, CA

Dr Seung Jae Lee, DMD is a medicare enrolled "Dentist" provider in Manteca, California. His current practice location is 2288 Daniels St, Manteca, California. You can reach out to his office (for appointments etc.) via phone at (209) 456-5610.

Dr Seung Jae Lee is licensed to practice in California (license number 60179) 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 1205117421.

Contact Information

Dr Seung Jae Lee, DMD
2288 Daniels St,
Manteca, CA 95337-6706
(209) 456-5610
Not Available



Healthcare Provider's Profile

Full NameDr Seung Jae Lee
GenderMale
SpecialityDentist
Location2288 Daniels St, Manteca, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205117421
  • Provider Enumeration Date: 09/01/2011
  • Last Update Date: 09/01/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1850606906
  • Enrollment ID: I20150818005513

Medical Identifiers

Medical identifiers for Dr Seung Jae Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205117421NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 60179 (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 Seung Jae 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 Seung Jae Lee, DMD
1401 Park Ave, #503,
Emeryville, CA 94608-3595

Ph: (415) 314-3210
Dr Seung Jae Lee, DMD
2288 Daniels St,
Manteca, CA 95337-6706

Ph: (209) 456-5610

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Dentist in Manteca, CA

Dr. Everett L. Low, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 415 N. Main St., Manteca, CA 95336
Phone: 209-823-9249    Fax: 209-823-9249
Dr. Gagandeep S. Sandhu,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1160 W Yosemite Ave, Manteca, CA 95337
Phone: 209-624-5160    Fax: 209-624-5168
Ghazala Rahman Khan, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 295 Sun Haven Pl, Suite 1, Manteca, CA 95337
Phone: 925-819-1996    
Dr. Rafik Habashi,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1160 W Yosemite Ave, Manteca, CA 95337
Phone: 209-624-5160    Fax: 209-624-5168
Dr. Mary Jean Richmond, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 521 E Center St, Manteca, CA 95336
Phone: 209-823-9218    Fax: 209-823-1134
Dr. Pamela Marie Andrews, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 132 N Grant Ave, Manteca, CA 95336
Phone: 209-239-5996    Fax: 209-824-8116
Dr. Ky-cuong Nhu Nguyen, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1333 Historical Plaza Way, Manteca, CA 95336
Phone: 209-825-3266    Fax: 209-825-3277

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