Charles V Edmond Jr, MD in Puyallup, WA

Charles V Edmond Jr, MD is a medicare enrolled "Otolaryngology" physician in Puyallup, Washington. He graduated from medical school in 1985 and has 40 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Proliance Surgeons Inc P S and his current practice location is 104 27th Ave Se, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 770-9000.

Charles V Edmond Jr is licensed to practice in Washington (license number MD30364) 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 1851327324.

Contact Information

	Charles V Edmond Jr, MD
	104 27th Ave Se, Puyallup, WA 98374-1145
	(253) 770-9000
	(253) 770-9712

Map and Direction

Physician's Profile

Full Name	Charles V Edmond Jr
Gender	Male
Speciality	Otolaryngology
Experience	40 Years
Location	104 27th Ave Se, Puyallup, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Charles V Edmond Jr graduated from medical school in 1985

NPI Data:

NPI Number: 1851327324
Provider Enumeration Date: 06/24/2006
Last Update Date: 10/20/2015

Medicare PECOS Information:

PECOS PAC ID: 1254593916
Enrollment ID: I20120426000157

Medical Identifiers

Medical identifiers for Charles V Edmond Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851327324	NPI	-	NPPES
8145229	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Y00000X	Otolaryngology	MD30364 (Washington)	Primary
207YS0123X	Otolaryngology - Facial Plastic Surgery	MD00030364 (Washington)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital
Multicare Good Samaritan Hospital	Puyallup, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Proliance Surgeons Inc P S	8527972900	355

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. Charles V Edmond Jr allows following entities to bill medicare on his behalf.

Entity Name	Proliance Surgeons Inc P S
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023170313 PECOS PAC ID: 8527972900 Enrollment ID: O20031119000128

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. Charles V Edmond Jr 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
Charles V Edmond Jr, MD Po Box 1205, Puyallup, WA 98371-0231 Ph: (253) 770-9000	Charles V Edmond Jr, MD 104 27th Ave Se, Puyallup, WA 98374-1145 Ph: (253) 770-9000

Reviews and Comments

Otolaryngology Doctors in Puyallup, WA

Dr. Todd Dwyer Jones, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712
Benjamin Wibonele, MD Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712
Dr. Dennis R. Elonka, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 6415 82nd St E, Puyallup, WA 98371 Phone: 253-691-0823
Vivian Mae Yu, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712
Julie Allina Gustafson, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-848-0368 Fax: 253-435-4937
Randall Paul Bennett, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712
Douglas D Backous, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 104 27th Ave Se, Puyallup, WA 98374 Phone: 253-770-9000 Fax: 253-770-9712

Charles V Edmond Jr, MD - Medicare Otolaryngology in Puyallup, WA