CANDICE JI EUN LEE-WANG MD - NPI 1396184685 - Family Medicine in Banning, CA

Q: What is Candice Lee-wang's NPI number?

The NPI number for Candice Lee-wang is 1396184685. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Q: What is Candice Lee-wang's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Candice Lee-wang was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Candice Ji Eun Lee-wang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CANDICE JI EUN LEE-WANG MD (NPI 1396184685) is an individual family medicine provider in Banning, California, licensed in California (A144571) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396184685

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameCANDICE JI EUN LEE-WANGCredential: MD

Location Address264 N HIGHLAND SPRINGS AVE STE 4Banning, CA 92220-3082

Mailing Address264 N. Highland Springs, Suite 4Banning, CA 92220 · (951) 769-0079 · Fax (888) 854-7592

Phone(951) 769-0079

Fax(888) 854-7592

Sole ProprietorNo

Enumeration DateJune 19, 2013

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1396184685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A144571

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

264 N HIGHLAND SPRINGS AVE STE 4, Banning, CA 92220

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Candice Ji Eun Lee-wang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALAN A VALENZUELA PA-C

Physician Assistant