Se Jung Shin, MD in Renton, WA - Medicare Emergency Medicine

Se Jung Shin, MD is a medicare enrolled "Emergency Medicine" physician in Renton, Washington. His current practice location is 10555 Se Carr Rd Bldg M, Renton, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 656-4270.

Se Jung Shin is licensed to practice in Washington (license number MD00038373) 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 1881665099.

Contact Information

	Se Jung Shin, MD
	10555 Se Carr Rd Bldg M, Renton, WA 98055-5820
	(425) 656-4270
	(425) 656-4271

Map and Direction

Physician's Profile

Full Name	Se Jung Shin
Gender	Male
Speciality	Emergency Medicine
Location	10555 Se Carr Rd Bldg M, Renton, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881665099
Provider Enumeration Date: 01/27/2006
Last Update Date: 04/30/2018

Medicare PECOS Information:

PECOS PAC ID: 9436046521
Enrollment ID: I20040804000497

Medical Identifiers

Medical identifiers for Se Jung Shin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881665099	NPI	-	NPPES
130308	Medicaid	OR
G8959946	Other	WA	MEDICARE
2065309	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD22180 (Oregon)	Secondary
207P00000X	Emergency Medicine	MD00038373 (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. Se Jung Shin allows following entities to bill medicare on his behalf.

Entity Name	Valley Medical Group-renton
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619209574 PECOS PAC ID: 4183753965 Enrollment ID: O20100604000113

Entity Name	Pacific Northwest Urgent Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215561998 PECOS PAC ID: 9133559255 Enrollment ID: O20200413003585

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. Se Jung Shin 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
Se Jung Shin, MD 3600 Lind Ave Sw, Renton, WA 98057-4934 Ph: (425) 228-3440	Se Jung Shin, MD 10555 Se Carr Rd Bldg M, Renton, WA 98055-5820 Ph: (425) 656-4270

Reviews and Comments

Emergency Medicine Doctors in Renton, WA

Peter R. Schmidt, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055 Phone: 425-228-3450
Karl H Kaufmann, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055 Phone: 425-228-3450
Stephen William Bretz, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055 Phone: 425-251-3440
Riley Anne Fisher, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 606 Oakesdale Ave Sw Ste C200, Renton, WA 98057 Phone: 866-259-1629
Paul Alfred Lee, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Emergency Department, Renton, WA 98055 Phone: 425-228-3440 Fax: 425-656-5016
Gabrielle Dionyse Lauren Bernard, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1205 N 10th St Ste A, Renton, WA 98057 Phone: 425-690-3475 Fax: 425-690-9475
Larry J Kadeg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055 Phone: 425-228-3450

Se Jung Shin, MD - Medicare Emergency Medicine in Renton, WA