Dr Ellen M Kim, MD | |
560 Gage Blvd Ste 206, Richland, WA 99352-8650 | |
(509) 942-3286 | |
(509) 628-1354 |
Full Name | Dr Ellen M Kim |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 25 Years |
Location | 560 Gage Blvd Ste 206, Richland, 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 |
---|---|---|---|
1124024229 | NPI | - | NPPES |
8458986 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD00046853 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tri-cities Home Health | Kennewick, WA | Home health agency |
Columbia River Home Health | Kennewick, WA | Home health agency |
Kadlec Regional Medical Center | Richland, WA | Hospital |
Providence Regional Medical Center Everett | Everett, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kadlec Regional Medical Center | 9739098617 | 347 |
Entity Name | Kadlec Regional Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972507580 PECOS PAC ID: 9739098617 Enrollment ID: O20031104000035 |
Entity Name | Providence Health & Services- Washington |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124270715 PECOS PAC ID: 8325100480 Enrollment ID: O20081224000111 |
Mailing Address | Practice Location Address |
---|---|
Dr Ellen M Kim, MD 550 Gage Blvd Ste 101, Richland, WA 99352-9532 Ph: (509) 942-3627 | Dr Ellen M Kim, MD 560 Gage Blvd Ste 206, Richland, WA 99352-8650 Ph: (509) 942-3286 |
Kalavati Paila, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd., Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2185 | |
Dr. Braghadheeswar Thyagarajan, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-2648 Fax: 509-942-2812 | |
Ziga Tretjak, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 780 Swift Blvd, Suite 270, Kadlec Clinic, Gastroenterology, Richland, WA 99352 Phone: 509-942-3627 Fax: 509-943-3280 | |
Dr. Caleb Haws, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-942-3627 Fax: 509-627-2983 | |
Nazar Hafiz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1270 Lee Blvd Ste A, Richland, WA 99352 Phone: 509-942-3180 Fax: 509-943-9722 | |
Arnulfo T Deray, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 888 Swift Blvd, Richland, WA 99352 Phone: 509-946-4611 Fax: 509-942-2185 | |
Munish Kumar Kannabhiran, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1100 Goethals Dr Ste E, Richland, WA 99352 Phone: 509-942-3272 Fax: 509-942-3273 |