Sung Ae Lee, MD in Anthem, AZ - Medicare Radiology

Sung Ae Lee, MD is a medicare enrolled "Radiology - Radiation Oncology" physician in Anthem, Arizona. Her current practice location is 820 W. Ravina Lane, Anthem, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 433-9904.

Sung Ae Lee is licensed to practice in Oklahoma (license number 10188) 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 1174953913.

Contact Information

	Sung Ae Lee, MD
	820 W. Ravina Lane, Anthem, AZ 85086
	(623) 433-9904
	Not Available

Physician's Profile

Full Name	Sung Ae Lee
Gender	Female
Speciality	Radiology - Radiation Oncology
Location	820 W. Ravina Lane, Anthem, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174953913
Provider Enumeration Date: 11/14/2013
Last Update Date: 11/14/2013

Medicare PECOS Information:

PECOS PAC ID: 3274822283
Enrollment ID: I20160516000087

Medical Identifiers

Medical identifiers for Sung Ae Lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174953913	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0001X	Radiology - Radiation Oncology	10188 (Oklahoma)	Primary
2085R0001X	Radiology - Radiation Oncology	33131 (Missouri)	Secondary

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. Sung Ae 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
Sung Ae Lee, MD 820 W. Ravina Lane, Anthem, AZ 85086 Ph: (623) 433-9904	Sung Ae Lee, MD 820 W. Ravina Lane, Anthem, AZ 85086 Ph: (623) 433-9904

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Sung Ae Lee, MD - Medicare Radiology in Anthem, AZ