Clara Chon Shin, MD | |
112 E Broadway Ave, Montesano, WA 98563-3704 | |
(360) 249-4111 | |
(360) 249-5220 |
Full Name | Clara Chon Shin |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 29 Years |
Location | 112 E Broadway Ave, Montesano, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376516401 | NPI | - | NPPES |
8300840 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00035516 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Harbors Home Health / Hospice | Hoquiam, WA | Home health agency |
Assured Home Health And Hospice | Centralia, WA | Home health agency |
Grays Harbor Community Hospital | Aberdeen, WA | Hospital |
Summit Pacific Medical Center-swing Bed Unit | Elma, WA | Hospital |
Capital Medical Center | Olympia, WA | Hospital |
Providence St Peter Hospital | Olympia, WA | Hospital |
Providence Centralia Hospital | Centralia, WA | Hospital |
Pacific Care And Rehabilitation | Hoquiam, WA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Montesano Internal Medicine Ps | 0446140362 | 3 |
Capital Medical Center Physicians Llc | 3678639879 | 44 |
Kaiser Foundation Health Plan Of Washington | 9032022579 | 1482 |
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 | Montesano Internal Medicine Ps |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073683314 PECOS PAC ID: 0446140362 Enrollment ID: O20040316000854 |
Entity Name | Capital Medical Center Physicians Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629214283 PECOS PAC ID: 3678639879 Enrollment ID: O20090312000311 |
Mailing Address | Practice Location Address |
---|---|
Clara Chon Shin, MD 112 E Broadway Ave, Montesano, WA 98563-3704 Ph: (360) 249-4111 | Clara Chon Shin, MD 112 E Broadway Ave, Montesano, WA 98563-3704 Ph: (360) 249-4111 |
Yong Ki Shin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 E Broadway Ave, Montesano, WA 98563 Phone: 360-249-4111 Fax: 360-249-5220 |