Dr Stephen Supoyo, MD - Medicare Family Medicine in Burien, WA

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Dr Stephen Supoyo, MD is a medicare enrolled "Family Medicine" physician in Burien, Washington. His current practice location is 140 Sw 146th St, Burien, Washington. You can reach out to his office (for appointments etc.) via phone at (206) 630-3000.

Dr Stephen Supoyo is licensed to practice in Washington (license number MD61069893) 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 1316441447.

Contact Information

Dr Stephen Supoyo, MD
140 Sw 146th St,
Burien, WA 98166-1912
(206) 630-3000
Not Available

Map and Direction




Physician's Profile

Full NameDr Stephen Supoyo
GenderMale
SpecialityFamily Medicine
Location140 Sw 146th St, Burien, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1316441447
  • Provider Enumeration Date: 03/22/2018
  • Last Update Date: 12/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3678822079
  • Enrollment ID: I20201214002434

Medical Identifiers

Medical identifiers for Dr Stephen Supoyo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316441447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD61069893 (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 Stephen Supoyo allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454
Entity NameInternational Community Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376659151
PECOS PAC ID: 5799695672
Enrollment ID: O20040301000204

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 Stephen Supoyo 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 AddressPractice Location Address
Dr Stephen Supoyo, MD
125 16th Ave E # Csb545,
Seattle, WA 98112-5211

Ph: () -		Dr Stephen Supoyo, MD
140 Sw 146th St,
Burien, WA 98166-1912

Ph: (206) 630-3000

Reviews and Comments


Family Medicine Doctors in Burien, WA

Dr. Kumara Raja Sundar, M.D
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 140 Sw 146th St, Burien, WA 98166
Phone: 206-901-2400    
Mrs. Kathleen Alyssa Barnes, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 140 Sw 146th St, Burien, WA 98166
Phone: 206-901-2400    
Dr. Adetola Cilveria Adeniyi,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 140 Sw 146th St, Burien, WA 98166
Phone: 559-836-1022    
Dr. Freeha Farhia Bokhari, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16045 1st Ave S Fl 1, Burien, WA 98148
Phone: 206-965-4180    Fax: 253-426-6344
Dr. Prashant Gupta, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 16045 1st Ave S # F1, Burien, WA 98148
Phone: 206-965-4180    Fax: 206-965-4199
Dr. Jeffrey Cameron Hoff, D.O.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 13014 12th Ave Sw, Burien, WA 98146
Phone: 206-244-0867    Fax: 206-244-3151
Richard Michael Dingacci, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 15811 Ambaum Blvd Sw, #170 (suite A), Burien, WA 98166
Phone: 206-439-2988    Fax: 206-431-3939

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.