Nicole Lee, - Medicare Physician Assistant in Oklahoma City, OK

Nicole Lee, is a medicare enrolled "Physician Assistant" in Oklahoma City, Oklahoma. Her current practice location is 4913 W Reno Ave, Oklahoma City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (405) 948-4900.

Nicole Lee is licensed to practice in Oklahoma (license number 2893) 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 1003303017.

Contact Information

Nicole Lee,
4913 W Reno Ave,
Oklahoma City, OK 73127-6339
(405) 948-4900
Not Available



Provider's Profile

Full NameNicole Lee
GenderFemale
SpecialityPhysician Assistant
Location4913 W Reno Ave, Oklahoma City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003303017
  • Provider Enumeration Date: 04/16/2018
  • Last Update Date: 10/31/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1254680044
  • Enrollment ID: I20211019000862

Medical Identifiers

Medical identifiers for Nicole Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003303017NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2893 (Oklahoma)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. Nicole 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
Nicole Lee,
4913 W Reno Ave,
Oklahoma City, OK 73127-6339

Ph: (405) 948-4900
Nicole Lee,
4913 W Reno Ave,
Oklahoma City, OK 73127-6339

Ph: (405) 948-4900

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