Sooyeon Kim, MD in Bellevue, WA

Sooyeon Kim, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Bellevue, Washington. Her current practice location is 1135 116th Ave Ne Ste 305, Bellevue, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 453-1772.

Sooyeon Kim is licensed to practice in Washington (license number MD61414864) 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 1144684150.

Contact Information

	Sooyeon Kim, MD
	1135 116th Ave Ne Ste 305, Bellevue, WA 98004-4623
	(425) 453-1772
	Not Available

Map and Direction

Physician's Profile

Full Name	Sooyeon Kim
Gender	Female
Speciality	Surgery - Vascular Surgery
Location	1135 116th Ave Ne Ste 305, Bellevue, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144684150
Provider Enumeration Date: 04/06/2016
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 7517376585
Enrollment ID: I20230822000905

Medical Identifiers

Medical identifiers for Sooyeon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144684150	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	MD61414864 (Washington)	Primary
208600000X	Surgery	2021-01339 (North Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Sooyeon Kim allows following entities to bill medicare on her behalf.

Entity Name	Lake Washington Vascular Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942292875 PECOS PAC ID: 6103716782 Enrollment ID: O20040317001054

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. Sooyeon Kim 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
Sooyeon Kim, MD 160 Dental Cir Bldg Cb7212, Chapel Hill, NC 27599-5021 Ph: (919) 966-3391	Sooyeon Kim, MD 1135 116th Ave Ne Ste 305, Bellevue, WA 98004-4623 Ph: (425) 453-1772

Reviews and Comments

Surgery Doctors in Bellevue, WA

David W Nelson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1135-116th Avenue Ne, Suite 605, Bellevue, WA 98004 Phone: 425-454-8161 Fax: 425-454-6304
April Phantana-angkool, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne Ste 200, Bellevue, WA 98004 Phone: 425-688-0212 Fax: 425-688-0213
Eiji Minami, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1135 116th Ave Ne, Suite 550, Bellevue, WA 98004 Phone: 425-688-1916 Fax: 425-688-1901
Mrs. Eileen T. Consorti, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne Ste 200, Bellevue, WA 98004 Phone: 425-688-0212
Dudley T Moorhead Ii, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1135 116th Ave Ne Ste 220, Bellevue, WA 98004 Phone: 425-450-7007 Fax: 425-450-0026
Dr. Mohamad Imad Haque, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 425-502-3589

Sooyeon Kim, MD - Medicare Surgery in Bellevue, WA