Jason Sangjae Lee, DDS - Medicare Dentist in Sebastopol, CA

Jason Sangjae Lee, DDS is a medicare enrolled "Dentist" provider in Sebastopol, California. His current practice location is 7138 Willow St, Sebastopol, California. You can reach out to his office (for appointments etc.) via phone at (707) 823-5308.

Jason Sangjae Lee is licensed to practice in California (license number 100095) 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 1942605969.

Contact Information

Jason Sangjae Lee, DDS
7138 Willow St,
Sebastopol, CA 95472-4306
(707) 823-5308
(707) 823-5256



Healthcare Provider's Profile

Full NameJason Sangjae Lee
GenderMale
SpecialityDentist
Location7138 Willow St, Sebastopol, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942605969
  • Provider Enumeration Date: 11/03/2014
  • Last Update Date: 06/07/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2668749367
  • Enrollment ID: I20170601000104

Medical Identifiers

Medical identifiers for Jason Sangjae Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942605969NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 12012249A (Indiana)Secondary
122300000XDentist 100095 (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. Jason Sangjae 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
Jason Sangjae Lee, DDS
7138 Willow St,
Sebastopol, CA 95472-4306

Ph: (707) 823-5308
Jason Sangjae Lee, DDS
7138 Willow St,
Sebastopol, CA 95472-4306

Ph: (707) 823-5308

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› Verified 9 days ago


Dentist in Sebastopol, CA

Dr. Bryce L Hetler, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 7728 Healdsburg Ave, Sebastopol, CA 95472
Phone: 707-824-5454    
Dr. Charlene Renee Chan, D.D.S., M.S.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6800 Palm Ave, Suite B, Sebastopol, CA 95472
Phone: 707-823-1200    Fax: 707-823-5363
Dr. Sylvia Lichtenstein Deaguiar, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 120 Pleasant Hill Ave N Ste 110, Sebastopol, CA 95472
Phone: 707-823-6481    
Dr. Michael Jon Lipelt, DDS, ND, L.AC.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 523 S Main St, Sebastopol, CA 95472
Phone: 707-829-2737    Fax: 707-829-2736
Larry M. Ford, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 120 Pleasant Hill Avenue North #110, Sebastopol, CA 95472
Phone: 707-823-6481    Fax: 707-829-1845
Oksana Kroshna Zakinov, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6800 Palm Ave Ste C1, Sebastopol, CA 95472
Phone: 707-869-2933    
Paul Frederick Thielen, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 318 S Main St, Sebastopol, CA 95472
Phone: 707-823-3654    Fax: 707-823-2612

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