Dr Kim Y Smith, MD is a medicare enrolled "General Practice" physician in Carson, Washington. His current practice location is
492 Hot Springs Avenue, Carson, Washington. You can reach out to his office (for appointments etc.) via phone at
(206) 427-1305.
Dr Kim Y Smith is licensed to practice in Washington (license number 00031597) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487767059.
Physician's Profile
Full Name | Dr Kim Y Smith |
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Gender | Male |
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Speciality | General Practice |
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Location | 492 Hot Springs Avenue, Carson, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487767059
- Provider Enumeration Date: 08/16/2006
- Last Update Date: 10/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608965660
- Enrollment ID: I20071129000135
Medical Identifiers
Medical identifiers for Dr Kim Y Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487767059 | NPI | - | NPPES |
8169534 | Medicaid | WA | |
25713 | Other | WA | L & I |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 00031597 (Washington) | Primary |
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 Kim Y Smith allows following entities to bill medicare on his behalf.
Entity Name | Public Hospital District No 3 Of Whitman County |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922009448 PECOS PAC ID: 7719875020 Enrollment ID: O20040309000090 |
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Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191230002111 |
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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 Kim Y Smith 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 Kim Y Smith, MD Po Box 340, Carson, WA 98610-0340 Ph: (206) 427-1305 | Dr Kim Y Smith, MD 492 Hot Springs Avenue, Carson, WA 98610 Ph: (206) 427-1305 |
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