Soo Ryun Ahn, MD is a medicare enrolled "Family Medicine" physician in Raymond, Washington. Her current practice location is
300 Ocean Ave, Raymond, Washington. You can reach out to her office (for appointments etc.) via phone at
(360) 942-3040.
Soo Ryun Ahn is licensed to practice in Washington (license number MD61332660) 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 1356802433.
Physician's Profile
Full Name | Soo Ryun Ahn |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 300 Ocean Ave, Raymond, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1356802433
- Provider Enumeration Date: 03/29/2019
- Last Update Date: 08/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042686651
- Enrollment ID: I20221024001639
Medical Identifiers
Medical identifiers for Soo Ryun Ahn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356802433 | NPI | - | NPPES |
2215614 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | MD61332660 (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. Soo Ryun Ahn allows following entities to bill medicare on her behalf.
Entity Name | Lewis County Community Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134164692 PECOS PAC ID: 6002803749 Enrollment ID: O20040426001899 |
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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. Soo Ryun Ahn 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 |
Soo Ryun Ahn, MD 2690 Ne Kresky Ave, Chehalis, WA 98532-2412 Ph: (360) 330-9595 | Soo Ryun Ahn, MD 300 Ocean Ave, Raymond, WA 98577-3016 Ph: (360) 942-3040 |
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