Dr Ken Kyung-hoon Lee, MD - Medicare Micrographic Dermatologic Surgery (mds) in Portland, OR

Dr Ken Kyung-hoon Lee, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Portland, Oregon. He went to Js Weill Medical College, Cornell University and graduated in 1990 and has 34 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Oregon Clinic Pc and his current practice location is 1414 Nw Northrup St Ste 600, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 223-3104.

Dr Ken Kyung-hoon Lee is licensed to practice in Oregon (license number MD19438) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1407864937.

Contact Information

Dr Ken Kyung-hoon Lee, MD
1414 Nw Northrup St Ste 600,
Portland, OR 97209
(503) 223-3104
(503) 223-4619



Physician's Profile

Full NameDr Ken Kyung-hoon Lee
GenderMale
SpecialityMicrographic Dermatologic Surgery (mds)
Experience34 Years
Location1414 Nw Northrup St Ste 600, Portland, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ken Kyung-hoon Lee attended and graduated from Js Weill Medical College, Cornell University in 1990
  NPI Data:
  • NPI Number: 1407864937
  • Provider Enumeration Date: 08/03/2006
  • Last Update Date: 06/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9638064298
  • Enrollment ID: I20040220001008

Medical Identifiers

Medical identifiers for Dr Ken Kyung-hoon Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407864937NPI-NPPES
151115MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD19438 (Oregon)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery MD19438 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oregon Clinic Pc2860390408319

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ken Kyung-hoon Lee allows following entities to bill medicare on his behalf.
Entity NameOregon Clinic Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265417174
PECOS PAC ID: 2860390408
Enrollment ID: O20031222000096

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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 Ken Kyung-hoon 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 Ken Kyung-hoon Lee, MD
847 Ne 19th Ave Ste 300,
Portland, OR 97232-2686

Ph: (503) 963-2801
Dr Ken Kyung-hoon Lee, MD
1414 Nw Northrup St Ste 600,
Portland, OR 97209

Ph: (503) 223-3104

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Dermatology Doctors in Portland, OR

Dr. Alison Marie Small, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3303 Sw Bond Ave, Portland, OR 97239
Phone: 503-418-3376    
Milie Fang, DO
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 3303 S Bond Ave Dept, Portland, OR 97239
Phone: 503-494-1375    
Bert G Tavelli, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2525 Nw Lovejoy St Ste 400, Portland, OR 97210
Phone: 503-223-1933    Fax: 503-223-1947
Natasha Fewkes Carter, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4914 Sw 1st Ave, Portland, OR 97239
Phone: 310-701-8274    
Dr. Samuel Fritz Bremmer, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-8211    
Oluwadamilare Olalekan Ajayi, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 3303 S Bond Ave, Portland, OR 97239
Phone: 503-418-3376    Fax: 503-494-6968
Diane Romayne Baker, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 9495 Sw Locust St Ste A&e, Portland, OR 97223
Phone: 503-471-0500    Fax: 503-471-0504

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