Khamphoucanh Southisombath, MD in Seattle, WA

Khamphoucanh Southisombath, MD is a medicare enrolled "Family Medicine" physician in Seattle, Washington. She went to University Of California, San Diego School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Neighborcare Health and her current practice location is 4400 37th Ave S, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 461-6957.

Khamphoucanh Southisombath is licensed to practice in Washington (license number MD60658344) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114316734.

Contact Information

	Khamphoucanh Southisombath, MD
	4400 37th Ave S, Seattle, WA 98118-1609
	(206) 461-6957
	(206) 461-7810

Map and Direction

Physician's Profile

Full Name	Khamphoucanh Southisombath
Gender	Female
Speciality	Family Practice
Experience	11 Years
Location	4400 37th Ave S, Seattle, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Khamphoucanh Southisombath attended and graduated from University Of California, San Diego School Of Medicine in 2013

NPI Data:

NPI Number: 1114316734
Provider Enumeration Date: 01/20/2015
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 9032417654
Enrollment ID: I20160621002324

Medical Identifiers

Medical identifiers for Khamphoucanh Southisombath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114316734	NPI	-	NPPES
1114316734	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A133492 (California)	Secondary
207Q00000X	Family Medicine	MD60658344 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Swedish Medical Center	Seattle, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Neighborcare Health	0143134205	83

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. Khamphoucanh Southisombath allows following entities to bill medicare on her behalf.

Entity Name	Neighborcare Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578593562 PECOS PAC ID: 0143134205 Enrollment ID: O20040128000573

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. Khamphoucanh Southisombath 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
Khamphoucanh Southisombath, MD 1200 12th Ave S Ste 901, Seattle, WA 98144-2712 Ph: (206) 548-3114	Khamphoucanh Southisombath, MD 4400 37th Ave S, Seattle, WA 98118-1609 Ph: (206) 461-6957

Reviews and Comments

Family Medicine Doctors in Seattle, WA

Claire M Barnett, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2001 E Madison St, Seattle, WA 98122 Phone: 206-328-7722 Fax: 206-720-4657
Dr. Gregory Parada, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Nw Market St Ste 207, Seattle, WA 98107 Phone: 206-781-6048 Fax: 206-860-6725
Michael S Grabinski, M.D., M.P.H. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 7th Ave, 8th Floor, Seattle, WA 98104 Phone: 206-860-4424 Fax: 206-720-7424
Xin Jie Luo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4755 Fauntleroy Way Sw, Seattle, WA 98116 Phone: 206-201-0551 Fax: 206-201-0552
Brooke Elizabeth Parker, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11011 Meridian Ave N Ste 201, Seattle, WA 98133 Phone: 206-520-5000
Eunice Mbela Nachinga, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 125 16th Ave E # Csb545, Seattle, WA 98112 Phone: 206-326-3769
Michelle K Xu, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1401 Madison St Ste 100, Seattle, WA 98104 Phone: 206-386-6111 Fax: 206-386-6113

Khamphoucanh Southisombath, MD - Medicare Family Practice in Seattle, WA