Jeong H Kim, MD in Bothell, WA - Medicare Internal Medicine

Jeong H Kim, MD is a medicare enrolled "Internal Medicine" physician in Bothell, Washington. His current practice location is 11812 N Creek Pkwy N Ste 202, Bothell, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 287-5500.

Jeong H Kim is licensed to practice in Washington (license number MD00036606) 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 1861591786.

Contact Information

	Jeong H Kim, MD
	11812 N Creek Pkwy N Ste 202, Bothell, WA 98011
	(425) 287-5500
	(425) 287-6440

Map and Direction

Physician's Profile

Full Name	Jeong H Kim
Gender	Male
Speciality	Internal Medicine
Location	11812 N Creek Pkwy N Ste 202, Bothell, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861591786
Provider Enumeration Date: 09/21/2006
Last Update Date: 08/01/2019

Medicare PECOS Information:

PECOS PAC ID: 7719983162
Enrollment ID: I20061009000278

Medical Identifiers

Medical identifiers for Jeong H Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861591786	NPI	-	NPPES
1020945	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD0036606 (Washington)	Secondary
207RA0401X	Internal Medicine - Addiction Medicine	MD00036606 (Washington)	Secondary
207R00000X	Internal Medicine	MD00036606 (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. Jeong H Kim allows following entities to bill medicare on his behalf.

Entity Name	Prime Care Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740768258 PECOS PAC ID: 4486999232 Enrollment ID: O20181222000334

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. Jeong H 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
Jeong H Kim, MD 3814 222nd Pl Se, Bothell, WA 98021-4220 Ph: (425) 922-7401	Jeong H Kim, MD 11812 N Creek Pkwy N Ste 202, Bothell, WA 98011 Ph: (425) 287-5500

Reviews and Comments

Internal Medicine Doctors in Bothell, WA

Dr. Ruth A. Freeman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1908 201st Pl Se Ste 100, Bothell, WA 98012 Phone: 425-219-4720 Fax: 425-949-7059
Dr. Parul Sharma, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se, Bothell, WA 98021 Phone: 425-412-7200
Shiquan Liu, MD, PHD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 10701 E Riverside Dr, Apt# 2, Bothell, WA 98011 Phone: 917-302-4077
Jody M Rhoades, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se, Suite 300, Bothell, WA 98021 Phone: 425-412-7200 Fax: 425-412-7281
Kent William Blakely, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se Ste 211, Bothell, WA 98021 Phone: 425-248-2626
Dr. Kerlan Peter Wolsey, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se Ste 300, Bothell, WA 98021 Phone: 425-412-7200
Diane Doerner, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1909 214th St Se, Suite 211, Bothell, WA 98021 Phone: 425-420-1648 Fax: 425-420-1649

Jeong H Kim, MD - Medicare Internal Medicine in Bothell, WA