Dr Teerawit Supakorndej, MD in Everett, WA

Dr Teerawit Supakorndej, MD is a medicare enrolled "Dermatology" physician in Everett, Washington. He went to Washington University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Optum Care Washington Pllc and his current practice location is 4004 Colby Ave, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 339-5417.

Dr Teerawit Supakorndej is licensed to practice in Washington (license number MD61047461) 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 1336599208.

Contact Information

	Dr Teerawit Supakorndej, MD
	4004 Colby Ave, Everett, WA 98201-6203
	(425) 339-5417
	(425) 339-5429

Map and Direction

Physician's Profile

Full Name	Dr Teerawit Supakorndej
Gender	Male
Speciality	Dermatology
Experience	8 Years
Location	4004 Colby Ave, Everett, Washington
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 Teerawit Supakorndej attended and graduated from Washington University School Of Medicine in 2016

NPI Data:

NPI Number: 1336599208
Provider Enumeration Date: 06/21/2016
Last Update Date: 09/14/2020

Medicare PECOS Information:

PECOS PAC ID: 4082983945
Enrollment ID: I20201015001838

Medical Identifiers

Medical identifiers for Dr Teerawit Supakorndej such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336599208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	MD61047461 (Washington)	Primary
207R00000X	Internal Medicine	2016018207 (Missouri)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Care Washington Pllc	6406752153	559

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 Teerawit Supakorndej allows following entities to bill medicare on his behalf.

Entity Name	Optum Care Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922

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 Teerawit Supakorndej 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 Teerawit Supakorndej, MD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 339-5417	Dr Teerawit Supakorndej, MD 4004 Colby Ave, Everett, WA 98201-6203 Ph: (425) 339-5417

Reviews and Comments

Dermatology Doctors in Everett, WA

Dr. Mark Conrad Valentine, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3327 Colby Ave, Everett, WA 98201 Phone: 425-258-6767 Fax: 425-259-6260
Jane M Nosal, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 4004 Colby Ave, Everett, WA 98201 Phone: 425-259-0966
Dr. Zarry Tavakkol, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4004 Colby Ave, Everett, WA 98201 Phone: 425-339-5417
Dr. Susan Oldenkamp, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 12811 8th Ave W, Suite D-109, Everett, WA 98204 Phone: 425-743-7888 Fax: 425-355-3055
Hana Kathryn Stelle, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4004 Colby Ave, Everett, WA 98201 Phone: 425-339-5431 Fax: 425-339-5429
Lucy Chao, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4004 Colby Ave, Everett, WA 98201 Phone: 425-339-5417 Fax: 425-339-5429

Dr Teerawit Supakorndej, MD - Medicare Dermatology in Everett, WA