<unavail> in Edmonds, WA - Medicare Clinic/Center

is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Edmonds, Washington. The current practice location for is 22618 Highway 99 Ste 106, Edmonds, Washington. For appointments, you can reach them via phone at (425) 409-9247. The mailing address for is 22618 Highway 99 Ste 106, Edmonds, Washington and phone number is (425) 409-9247.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1336491570. 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 (425) 409-9247.

Contact Information


	22618 Highway 99 Ste 106 Edmonds WA 98026-8395
	(425) 409-9247
	Not Available

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Clinic/Center
Location	22618 Highway 99 Ste 106, Edmonds, Washington
Authorized Official Name and Position	Misook Joo (DNP)
Authorized Official Contact	4254099247
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
22618 Highway 99 Ste 106 Edmonds WA 98026-8395 Ph: (425) 409-9247	22618 Highway 99 Ste 106 Edmonds WA 98026-8395 Ph: (425) 409-9247

NPI Details:

NPI Number	1336491570
Provider Enumeration Date	10/12/2012
Last Update Date	08/03/2019

Medicare PECOS Information:

Medicare PECOS PAC ID	9335390368
Medicare Enrollment ID	O20121121000175

Medical Identifiers

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

Identifier	Type	State	Issuer
1336491570	NPI	-	NPPES
1336491570	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QP2300X	Clinic/center - Primary Care	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Dosoon Soh
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1699004234 PECOS PAC ID: 1658414164 Enrollment ID: I20100205000545

Provider Name	Misook Joo
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1598011371 PECOS PAC ID: 0244481273 Enrollment ID: I20121121000198

Provider Name	Gaeun Song
Provider Type	Practitioner - Nurse Practitioner
Provider Identifiers	NPI Number: 1164259933 PECOS PAC ID: 1759814981 Enrollment ID: I20241028000446

Reviews and Comments

Clinic/Center in Edmonds, WA

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- Medicare Primary Care in Edmonds, WA