Peter Soo-hwan Kim, - Medicare Physician Assistant in Lake Oswego, OR

Peter Soo-hwan Kim, is a medicare enrolled "Physician Assistant" in Lake Oswego, Oregon. He graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Bhsm Rehabilitation Llc, Banner Physician Specialists Arizona Llc and his current practice location is 4103 Mercantile Dr, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 850-9940.

Peter Soo-hwan Kim is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629688775.

Contact Information

Peter Soo-hwan Kim,
4103 Mercantile Dr,
Lake Oswego, OR 97035-2556
(503) 850-9940
(503) 850-6709

Map and Direction




Provider's Profile

Full NamePeter Soo-hwan Kim
GenderMale
SpecialityPhysician Assistant
Experience4 Years
Location4103 Mercantile Dr, Lake Oswego, Oregon
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Peter Soo-hwan Kim graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1629688775
  • Provider Enumeration Date: 08/04/2020
  • Last Update Date: 02/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7517366255
  • Enrollment ID: I20220304002051

Medical Identifiers

Medical identifiers for Peter Soo-hwan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629688775NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Thunderbird Medical CenterGlendale, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bhsm Rehabilitation Llc20627731381355
Banner Physician Specialists Arizona Llc6204002272255

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. Peter Soo-hwan 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 AddressPractice Location Address
Peter Soo-hwan Kim,
4103 Mercantile Dr,
Lake Oswego, OR 97035-2556

Ph: (503) 850-9940
Peter Soo-hwan Kim,
4103 Mercantile Dr,
Lake Oswego, OR 97035-2556

Ph: (503) 850-9940

Reviews and Comments


Physician Assistant Nurses in Lake Oswego, OR

Amanda Leigh Barclay, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 17550 Provost St Ste 201, Lake Oswego, OR 97034
Phone: 503-872-2440    
Ms. Julie Lyn Cramer, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035
Phone: 541-969-7466    Fax: 855-529-7962
Ms. Stacy R. Hampton, PHARM.D., PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 16869 65th Ave # 287, Lake Oswego, OR 97035
Phone: 541-808-1093    Fax: 541-738-2106
Megan Elaine Hunt, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035
Phone: 503-850-9940    Fax: 503-850-6709
Colin Zelimir Barich,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 4103 Mercantile Dr Ste B, Lake Oswego, OR 97035
Phone: 503-850-9940    
James Herbert Moorman, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 4000 Carman Dr, Unit 41, Lake Oswego, OR 97035
Phone: 503-473-6345    
Mr. Anthony Lance Johnson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035
Phone: 503-850-9940    Fax: 503-850-6709

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.