Dr Edsel Uisuk Kim, MD in Portland, OR - Medicare Otolaryngology

Dr Edsel Uisuk Kim, MD is a medicare enrolled "Otolaryngology" physician in Portland, Oregon. He went to New York University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice The Oregon Clinic, Pc and his current practice location is 9155 Sw Barnes Rd Ste 536, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 935-8100.

Dr Edsel Uisuk Kim is licensed to practice in Oregon (license number MD24541) 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 1073562070.

Contact Information

	Dr Edsel Uisuk Kim, MD
	9155 Sw Barnes Rd Ste 536, Portland, OR 97225-6785
	(503) 935-8100
	(503) 935-8110

Map and Direction

Physician's Profile

Full Name	Dr Edsel Uisuk Kim
Gender	Male
Speciality	Otolaryngology
Experience	28 Years
Location	9155 Sw Barnes Rd Ste 536, Portland, Oregon
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:

Dr Edsel Uisuk Kim attended and graduated from New York University School Of Medicine in 1996

NPI Data:

NPI Number: 1073562070
Provider Enumeration Date: 05/08/2006
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1850376229
Enrollment ID: I20040621000736

Medical Identifiers

Medical identifiers for Dr Edsel Uisuk Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073562070	NPI	-	NPPES
226996	Medicaid	OR
8523557	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	MD24541 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Vincent Medical Center	Portland, OR	Hospital
Providence Portland Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Oregon Clinic, Pc	2860390408	313

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. Dr Edsel Uisuk Kim allows following entities to bill medicare on his behalf.

Entity Name	The Oregon Clinic, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265417174 PECOS PAC ID: 2860390408 Enrollment ID: O20031222000096

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. Dr Edsel Uisuk 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
Dr Edsel Uisuk Kim, MD 541 Ne 20th Ave Ste 225, Portland, OR 97232-2895 Ph: (503) 963-2801	Dr Edsel Uisuk Kim, MD 9155 Sw Barnes Rd Ste 536, Portland, OR 97225-6785 Ph: (503) 935-8100

Reviews and Comments

Otolaryngology Doctors in Portland, OR

David Wei Kuo Lin, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 3600 N Interstate Ave, Interstate Medical Office Central, Portland, OR 97227 Phone: 503-331-6085
Zipei Feng, MD, PHD Otolaryngology Medicare: Medicare Enrolled Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110
Mr. Michael Lee Mcdonald, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 10101 Se Main St, # 2004, Portland, OR 97216 Phone: 503-257-3204 Fax: 503-255-7208
Dr. Duane Allen Lundeberg, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 2222 Nw Lovejoy St, Suite #622, Portland, OR 97210 Phone: 503-229-8455 Fax: 503-229-7028
Brian Jacob Stater, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 9155 Sw Barnes Rd Ste 536, Portland, OR 97225 Phone: 503-935-8100 Fax: 503-935-8110
James Isaac Cohen, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Pv-01, Portland, OR 97239 Phone: 503-494-5355 Fax: 503-494-4631

Dr Edsel Uisuk Kim, MD - Medicare Otolaryngology in Portland, OR