Susana M Lee, OD - Medicare Optometrist in Astoria, NY

Susana M Lee, OD is a medicare enrolled "Optometrist" provider in Astoria, New York. Her current practice location is 2238 31st St, Astoria, New York. You can reach out to her office (for appointments etc.) via phone at (718) 278-3600.

Susana M Lee is licensed to practice in New York (license number TUV007020-1) 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 1679543003.

Contact Information

Susana M Lee, OD
2238 31st St,
Astoria, NY 11105-2714
(718) 278-3600
Not Available



Healthcare Provider's Profile

Full NameSusana M Lee
GenderFemale
SpecialityOptometrist
Location2238 31st St, Astoria, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679543003
  • Provider Enumeration Date: 01/26/2006
  • Last Update Date: 10/20/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0840256715
  • Enrollment ID: I20070213000027

Medical Identifiers

Medical identifiers for Susana M Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679543003NPI-NPPES
02841394MedicaidNY
0061620MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WL0500XOptometrist - Low Vision Rehabilitation 27OA00593700 (New Jersey)Secondary
152W00000XOptometrist TUV007020-1 (New York)Primary

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. Susana M Lee allows following entities to bill medicare on her behalf.
Provider NameOdyssey Optics Ltd
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1962594200
PECOS PAC ID: 8628070240
Enrollment ID: O20070212000449

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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. Susana M 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
Susana M Lee, OD
2238 31st St,
Astoria, NY 11105-2714

Ph: () -
Susana M Lee, OD
2238 31st St,
Astoria, NY 11105-2714

Ph: (718) 278-3600

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