| Clara Chon Shin, MD | |
|
112 E Broadway Ave, Montesano, WA 98563-3704 | |
| (360) 249-4111 | |
| (360) 249-5220 |
| Full Name | Clara Chon Shin |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 30 Years |
| Location | 112 E Broadway Ave, Montesano, Washington |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376516401 | NPI | - | NPPES |
| 8300840 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD00035516 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Assured Home Health And Hospice | Centralia, WA | Home health agency |
| Harbors Home Health / Hospice | Hoquiam, WA | Home health agency |
| Grays Harbor Community Hospital | Aberdeen, WA | Hospital |
| Summit Pacific Medical Center-swing Bed Unit | Elma, WA | Hospital |
| Capital Medical Center | Olympia, WA | Hospital |
| Providence Centralia Hospital | Centralia, WA | Hospital |
| Willapa Harbor Hospital | South bend, WA | Hospital |
| Pacific Care And Rehabilitation | Hoquiam, WA | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Capital Medical Center Physicians Llc | 3678639879 | 56 |
| Kaiser Foundation Health Plan Of Washington | 9032022579 | 1374 |
| Entity Name | Kaiser Foundation Health Plan Of Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396810701 PECOS PAC ID: 9032022579 Enrollment ID: O20031112000454 |
| Entity Name | Montesano Internal Medicine Ps |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073683314 PECOS PAC ID: 0446140362 Enrollment ID: O20040316000854 |
| Entity Name | Capital Medical Center Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629214283 PECOS PAC ID: 3678639879 Enrollment ID: O20090312000311 |
| Mailing Address | Practice Location Address |
|---|---|
| Clara Chon Shin, MD 112 E Broadway Ave, Montesano, WA 98563-3704 Ph: (360) 249-4111 | Clara Chon Shin, MD 112 E Broadway Ave, Montesano, WA 98563-3704 Ph: (360) 249-4111 |
Yong Ki Shin, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 112 E Broadway Ave, Montesano, WA 98563 Phone: 360-249-4111 Fax: 360-249-5220 |