Bridgeport Medical Clinic Pllc in Puyallup, WA

Bridgeport Medical Clinic Pllc is a medicare enrolled primary clinic (Clinic/center) in Puyallup, Washington. The current practice location for Bridgeport Medical Clinic Pllc is 511 10th Ave Se, Puyallup, Washington. For appointments, you can reach them via phone at (253) 845-7566. The mailing address for Bridgeport Medical Clinic Pllc is 152 S 295th Pl, Federal Way, Washington and phone number is (253) 797-9234.

Bridgeport Medical Clinic Pllc is licensed to practice in Washington (license number MD00041157). The clinic also participates in the medicare program and its NPI number is 1982855995. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (253) 845-7566.

Contact Information

	Bridgeport Medical Clinic Pllc
	511 10th Ave Se Puyallup WA 98372-3875
	(253) 845-7566
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name	Bridgeport Medical Clinic Pllc
Speciality	Clinic/Center
Location	511 10th Ave Se, Puyallup, Washington
Authorized Official Name and Position	Dennis Jooyoung Kim (MEMBER)
Authorized Official Contact	2537979234
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bridgeport Medical Clinic Pllc 152 S 295th Pl Federal Way WA 98003-3659 Ph: (253) 797-9234	Bridgeport Medical Clinic Pllc 511 10th Ave Se Puyallup WA 98372-3875 Ph: (253) 845-7566

NPI Details:

NPI Number	1982855995
Provider Enumeration Date	10/08/2008
Last Update Date	05/03/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	1254490147
Medicare Enrollment ID	O20081106000744

Medical Identifiers

Medical identifiers for Bridgeport Medical Clinic Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982855995	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261Q00000X	Clinic/center	MD00041157 (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. Bridgeport Medical Clinic Pllc acts as a billing entity for following providers:

Provider Name	Dennis J Kim
Provider Type	Practitioner - Internal Medicine
Provider Identifiers	NPI Number: 1669586087 PECOS PAC ID: 1254300189 Enrollment ID: I20040928000845

Reviews and Comments

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Bridgeport Medical Clinic Pllc - Medicare Primary Care in Puyallup, WA