DR. EUNJAE LEE MD
NPI 1093384042
Obstetrics & Gynecology in Jacksonville, FL
About Dr. Eunjae Lee Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EUNJAE LEE MD (NPI 1093384042) is an individual obstetrics & gynecology provider in Jacksonville, Florida, licensed in Florida (ME178930) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Eunjae Lee Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Eunjae Lee reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 1,828 clinicians in this Medicare group
Newtown Square, PA 19073
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,638 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic
Acute Care Hospitals · Jacksonville, FLBryn Mawr Hospital
Acute Care Hospitals · Bryn Mawr, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Eunjae Lee's NPI number?
The NPI number for Eunjae Lee is 1093384042. It was assigned to this individual provider in the NPPES registry on June 23, 2021.
Where is Eunjae Lee located?
Eunjae Lee practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Eunjae Lee's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Eunjae Lee enrolled in Medicare?
Yes. Eunjae Lee is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Eunjae Lee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eunjae Lee reassigns Medicare benefits to 2 organizations: Mayo Clinic Jacksonville (Jacksonville, FL) and Main Line Healthcare (Newtown Square, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Eunjae Lee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eunjae Lee accept?
Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Eunjae Lee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Eunjae Lee affiliated with any hospitals?
According to CMS data, Eunjae Lee is affiliated with Mayo Clinic and Bryn Mawr Hospital.
When was this NPI record last updated?
The NPPES record for Eunjae Lee was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Eunjae Lee, MD · NPI 1093384042
Obstetrics & Gynecology physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since June 23, 2021.
## Identity
- **NPI:** 1093384042 (Entity type: Individual)
- **Enumerated:** June 23, 2021
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** ME178930 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Jacksonville (NPI 1174143986, Jacksonville, FL); Main Line Healthcare (NPI 1922077643, Newtown Square, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** June 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1093384042) · Data from the CMS NPPES public registry.