Look up the most recent NPI and PECOS records

Gilbert B. Lee

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Gilbert B. Lee does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1003930991
Provider Type
Individual
Full Name
Lee, Gilbert B.
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/18/2007
Last Updated
7/9/2007

Contact Information

Practice Location

1558 SW Nancy Way, Bend, OR 97702-3216

(541) 312-8679

Unlisted Fax

Mailing Location

1558 SW Nancy Way, Bend, OR 97702-3216

(541) 312-8679

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD 12003 Oregon

Provider Identifiers

ID	Description	Issuer
ID 100360	Description Medicaid	Issuer Unlisted Oregon

Gilbert B. Lee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Lemee, Madeline T

Ponderosa Medical

Day, Carolyn K

Dawson, Sarah Elizabeth

Ehg Of Oregon Pc

Christensen, Jeness Marie

Ramsey, John Patrick

Little, Joshua James

Ramsey, Monica Ellen Rau

Kinney, Robert