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Tyler Yang Mao Lee

Hospitalist

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as TYLER LEE.

Based on the most recent information from CMS, provider Tyler Yang Mao Lee is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 9:59 AM.

Profile Details

Provider ID
1346252889
Provider Type
Individual
Full Name
Lee, Tyler Yang Mao
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
8/13/2006
Last Updated
4/17/2017

Contact Information

Practice Location

325 9th Ave, Seattle, WA 98104-2420

(206) 744-3000

Unlisted Fax

Mailing Location

PO Box 50095, Seattle, WA 98145-5095

(206) 520-5700

(206) 520-3186

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License MD60023079 Washington
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD60023079 Washington

Provider Identifiers

ID	Description	Issuer
ID 0293204	Description Other	Issuer L&I Washington
ID 1346252889	Description Medicaid	Issuer Unlisted Washington

Tyler Yang Mao Lee

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

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Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

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Brahmbhatt, Jay Manoj

Weil, Alexis C

Mattes, Zachary Charles

Fair, Katherine Margaret

Korinke, Erika Rene