Sam Child Eggertsen, MD in Kenmore, WA - Medicare Family Medicine

Sam Child Eggertsen, MD is a medicare enrolled "Family Medicine" physician in Kenmore, Washington. His current practice location is 6016 Ne Bothell Way, Ste G, Kenmore, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 486-0658.

Sam Child Eggertsen is licensed to practice in Washington (license number MD00016014) 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 1457359507.

Contact Information

	Sam Child Eggertsen, MD
	6016 Ne Bothell Way, Ste G, Kenmore, WA 98028-9403
	(425) 486-0658
	Not Available

Map and Direction

Physician's Profile

Full Name	Sam Child Eggertsen
Gender	Male
Speciality	Family Medicine
Location	6016 Ne Bothell Way, Kenmore, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457359507
Provider Enumeration Date: 07/12/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3173623402
Enrollment ID: I20070731000067

Medical Identifiers

Medical identifiers for Sam Child Eggertsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457359507	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD00016014 (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. Sam Child Eggertsen allows following entities to bill medicare on his behalf.

Entity Name	Healthpoint
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831199454 PECOS PAC ID: 9335042886 Enrollment ID: O20040206000245

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. Sam Child Eggertsen 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
Sam Child Eggertsen, MD 403 E Meeker St, Ste 300, Kent, WA 98030-5904 Ph: () -	Sam Child Eggertsen, MD 6016 Ne Bothell Way, Ste G, Kenmore, WA 98028-9403 Ph: (425) 486-0658

Reviews and Comments

Family Medicine Doctors in Kenmore, WA

Dr. Helan Lee-garrard, D.O., MPH Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18151 68th Ave Ne Ste 100, Kenmore, WA 98028 Phone: 425-485-6561
Brandon Wei, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18151 68th Ave Ne Ste 100, Kenmore, WA 98028 Phone: 425-485-6561
Thomas S Dawson, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18151 68th Ave Ne Ste 100, Kenmore, WA 98028 Phone: 425-485-6561
Mr. Robert Rooe Simpson, MS MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18119 65th Ave Ne, Kenmore, WA 98028 Phone: 425-486-7121 Fax: 425-485-5212
Dr. Christopher J Telge, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 18208 66th Ave Ne, Suite 200, Kenmore, WA 98028 Phone: 425-485-6561 Fax: 425-488-4939
Suzanne Marie Gisch, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 18151 68th Ave Ne, Unit 219, Kenmore, WA 98028 Phone: 715-308-5752

Sam Child Eggertsen, MD - Medicare Family Medicine in Kenmore, WA