Mr Jake T Kim, LICSW in Edmonds, WA - Medicare Clinical Social Worker Provider

Mr Jake T Kim, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Edmonds, Washington. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Sequim Counseling Llc, Kaiser Foundation Health Plan Of Washington and his current practice location is 7320 216th St Sw, Suite 200, Edmonds, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 640-4900.

Mr Jake T Kim is licensed to practice in Washington (license number LW60218364) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154636603.

Contact Information

	Mr Jake T Kim, LICSW
	7320 216th St Sw, Suite 200, Edmonds, WA 98026-8006
	(425) 640-4900
	(425) 640-4919

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Jake T Kim
Gender	Male
Speciality	Clinical Social Worker
Experience	14 Years
Location	7320 216th St Sw, Edmonds, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Jake T Kim graduated from medical school in 2010

NPI Data:

NPI Number: 1154636603
Provider Enumeration Date: 08/09/2010
Last Update Date: 07/10/2015

Medicare PECOS Information:

PECOS PAC ID: 5597995845
Enrollment ID: I20140305002233

Medical Identifiers

Medical identifiers for Mr Jake T Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154636603	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	081733 (New York)	Secondary
1041C0700X	Social Worker - Clinical	LW60218364 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sequim Counseling Llc	0446664627	7
Kaiser Foundation Health Plan Of Washington	9032022579	1482

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Jake T Kim allows following entities to bill medicare on his behalf.

Entity Name	Franciscan Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789

Entity Name	Kaiser Foundation Health Plan Of Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454

Entity Name	Sequim Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558865774 PECOS PAC ID: 0446664627 Enrollment ID: O20210129000520

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jake T Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Jake T Kim, LICSW Po Box 25608, Salt Lake City, UT 84125-0608 Ph: (206) 320-4476	Mr Jake T Kim, LICSW 7320 216th St Sw, Suite 200, Edmonds, WA 98026-8006 Ph: (425) 640-4900

Reviews and Comments

Social Worker in Edmonds, WA

Cheryl Ann Snyder, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21231 Pioneer Way, Edmonds, WA 98026 Phone: 206-755-4178
Carolyn P Maret, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8202 190th St Sw, Edmonds, WA 98026 Phone: 425-469-6229
Noelle Lalario, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 21616 76th Ave W Ste 113, Edmonds, WA 98026 Phone: 425-640-4636 Fax: 425-673-3953
Ms. D. Sarah Peterson, L.I.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Main St, Suite F, Edmonds, WA 98020 Phone: 425-771-5432
Rose Ann Rhodes, SOCIAL WORKER Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21616 76th Ave W, Suite 102, Edmonds, WA 98026 Phone: 425-774-1538 Fax: 425-774-5171
Michael A Weiford, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 547 Dayton St, Edmonds, WA 98020 Phone: 425-771-5166 Fax: 425-670-2807

Mr Jake T Kim, LICSW - Medicare Clinical Social Worker in Edmonds, WA