NPIMap

Individual provider Active NPI

Peffin Lee, D.O.

  • Psychiatry Physician
  • Bangor, ME
National Provider Identifier
1972964161
Registry record updated Aug 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
LT20049 Issued in ME
Practice address
268 Stillwater Ave
Bangor, ME 04401-3945
Phone
(207) 973-6100
NPI assigned
Mar 15, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X LT20049 ME Primary

Addresses

Primary practice location

268 Stillwater Ave
Bangor, ME 04401-3945

Mailing address

268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100

Other practice location 1

2006 Hogback Rd
Suite 1
Ann Arbor, MI 48105-9750
Phone (734) 786-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210706001727 TX Practitioner - Psychiatry 6709174600 Reassigns benefits to 2 organizations
I20220127002341 PA Practitioner - Psychiatry 6709174600 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4315 Diplomacy Dr
Anchorage, AK 99508-5926
Phone (907) 563-2662

Hospital & facility affiliations

  • Alaska Native Medical Center Hospital, Anchorage, AK, CCN 020026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
LT20049MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southcentral Foundation Current Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jun 1, 2021 Accepting new patients
Southcentral Foundation Current Accepting new patients
Geisinger Cancer Center of Lewisburg CurrentSince Feb 14, 2022 Accepting new patients
Southcentral Foundation CurrentSince Jun 1, 2021 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation CurrentSince Jun 1, 2021 Accepting new patients
Geisinger Clinic Current Accepting new patients
Geisinger Clinic CurrentSince Feb 14, 2022 Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Current Accepting new patients
Southcentral Foundation Past Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

4130 San Ernesto Ave
#A
Anchorage, AK 99508
Phone (907) 729-5070

755 A St
Anchorage, AK 99501
Phone (907) 272-1255

4330 Elmore Rd
Anchorage, AK 99508
Phone (907) 729-6690

4320 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-0000

4000 San Ernesto Ave
Anchorage, AK 99508
Phone (907) 729-5020

4000 Laurel St
#4
Anchorage, AK 99508

6901 E Tudor Rd
Ste 8
Anchorage, AK 99507
Phone (907) 729-6500

400 W Benson Blvd
Anchorage, AK 99503
Phone (907) 729-4200

1021 E 3rd Ave
Anchorage, AK 99501
Phone (907) 729-6342

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

225 Eagle St
Anchorage, AK 99501
Phone (907) 729-6550

7033 E Tudor Rd
Anchorage, AK 99507
Phone (907) 729-0000

26341 Eklutna Village Rd
Chugiak, AK 99567
Phone (907) 688-6031

1 Flight Line Rd
Port Alsworth, AK 99653
Phone (907) 781-2256

100 N Academy Ave
Danville, PA 17822

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1972964161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013945",
            "telephone_number": "207-973-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVE",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013945",
            "telephone_number": "207-973-6100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2006 Hogback Rd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481059750",
            "country_code": "US",
            "telephone_number": "734-786-2300",
            "fax_number": "734-786-4915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "PEFFIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "LT20049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.