Edward Kim, is a medicare enrolled "Physical Medicine & Rehabilitation - Pain Medicine" physician in Arlington, Washington. His current practice location is
4011 172nd St Ne, Arlington, Washington. You can reach out to his office (for appointments etc.) via phone at
(425) 259-0966.
Edward Kim is licensed to practice in Washington (license number MD61425958) 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 1497201701.
Physician's Profile
Full Name | Edward Kim |
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Gender | Male |
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Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
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Location | 4011 172nd St Ne, Arlington, 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: 1497201701
- Provider Enumeration Date: 08/28/2016
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 1355779703
- Enrollment ID: I20230717001415
Medical Identifiers
Medical identifiers for Edward Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497201701 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | MD61425958 (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. Edward Kim allows following entities to bill medicare on his behalf.
Entity Name | The Polyclinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
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Entity Name | Optum Care Washington Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
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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. Edward 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 |
Edward Kim, Po Box 5127, Everett, WA 98206-5127 Ph: (425) 304-8431 | Edward Kim, 4011 172nd St Ne, Arlington, WA 98223 Ph: (425) 259-0966 |
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