Individual ProviderHwaseung LeeNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1301 Pierce Street, Maxine Hall Health Center, San Francisco, CA 94115(415) 292-1300PECOS EnrollmentBased on the most recent information from CMS, provider Hwaseung Lee 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 2 days ago.Profile DetailsProvider ID1245437698Provider TypeIndividualFull NameLee, HwaseungCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date6/29/2007Last Updated11/3/2010Contact InformationPractice LocationPractice Address1301 Pierce Street, Maxine Hall Health Center, San Francisco, CA 94115Phone(415) 292-1300FaxUnlisted FaxMailing LocationMailing Address1301 Pierce St, San Francisco, CA 94115-4005PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense15143California