Paweena Thoophom, MD - Medicare Pediatrics in Enumclaw, WA

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Paweena Thoophom, MD is a medicare enrolled "Pediatrics" physician in Enumclaw, Washington. Her current practice location is 3021 Griffin Ave, Enumclaw, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 825-6511.

Paweena Thoophom is licensed to practice in Washington (license number MD00046037) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487675526.

Contact Information

Paweena Thoophom, MD
3021 Griffin Ave,
Enumclaw, WA 98022-2369
(360) 825-6511
(360) 825-6536

Map and Direction




Physician's Profile

Full NamePaweena Thoophom
GenderFemale
SpecialityPediatrics
Location3021 Griffin Ave, Enumclaw, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487675526
  • Provider Enumeration Date: 07/22/2006
  • Last Update Date: 11/28/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 9537284427
  • Enrollment ID: I20120727000639

Medical Identifiers

Medical identifiers for Paweena Thoophom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487675526NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A93951 (California)Secondary
208000000XPediatrics MD00046037 (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. Paweena Thoophom allows following entities to bill medicare on her behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789

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. Paweena Thoophom 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
Paweena Thoophom, MD
3021 Griffin Ave,
Enumclaw, WA 98022-2369

Ph: (360) 825-6511		Paweena Thoophom, MD
3021 Griffin Ave,
Enumclaw, WA 98022-2369

Ph: (360) 825-6511

Reviews and Comments


Pediatrics Doctors in Enumclaw, WA

Dr. Dana Marie Lee, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3021 Griffin Ave, Enumclaw, WA 98022
Phone: 360-825-6511    Fax: 360-802-5036

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.