Individual ProviderHao Tuan LeInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address200 E Chestnut St, Services Bldg. Suite 303, Louisville, KY 40202-1831(502) 629-5552(502) 588-9490PECOS EnrollmentThis provider is enrolled in PECOS as HAO LE.Based on the most recent information from CMS, provider Hao Tuan Le is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1124205935Provider TypeIndividualFull NameLe, Hao TuanTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date1/23/2008Last Updated3/12/2018Contact InformationPractice LocationPractice Address200 E Chestnut St, Services Bldg. Suite 303, Louisville, KY 40202-1831Phone(502) 629-5552Fax(502) 629-3132Mailing LocationMailing AddressPO Box 776351, Chicago, IL 60677-6351Phone(502) 588-9490Fax(502) 272-5116Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense42126KentuckyCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense125050349IllinoisProvider IdentifiersIDDescriptionIssuerID7100062750DescriptionMedicaidIssuerUnlistedKentuckyIDK088000DescriptionOtherIssuerMEDICARE KY - NISKentuckyID000000592742DescriptionOtherIssuerANTHEM BCBSKentuckyID201180160DescriptionMedicaidIssuerUnlistedIndiana