| Dr Brian Yongil Kim, MD | |
|
11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | |
| (425) 259-0966 | |
| (425) 303-3091 |
| Full Name | Dr Brian Yongil Kim |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Location | 11019 Canyon Rd E Ste A, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982860276 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD60205330 (Washington) | Primary |
| 207Q00000X | Family Medicine | 125055391 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| St Joseph Medical Center | Tacoma, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Optum Care Washington Pllc | 6406752153 | 684 |
| Entity Name | The Polyclinic PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174594634 PECOS PAC ID: 2163328196 Enrollment ID: O20031210000788 |
| Entity Name | Optum Care Washington PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922 |
| Entity Name | Pacmed Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013061217 PECOS PAC ID: 2466350657 Enrollment ID: O20031226000033 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Brian Yongil Kim, MD 7600 Evergreen Way, Everett, WA 98203-6421 Ph: (206) 860-5414 | Dr Brian Yongil Kim, MD 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 Ph: (425) 259-0966 |
Tonya Harris, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3705 S Meridian Ste B, Puyallup, WA 98373 Phone: 253-765-5050 |
Jennea Lynn Skaar, ARNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 16515 Meridian E Ste 104a, Puyallup, WA 98375 Phone: 253-792-6650 |
Mark S. Kim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1803 S Meridian, Puyallup, WA 98371 Phone: 253-268-3400 Fax: 253-268-3870 |
Dr. Daria Sciarrone, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 11019 Canyon Rd E, Puyallup, WA 98373 Phone: 253-537-0293 Fax: 425-537-7650 |
Dr. Jennifer N Pense, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 31st Ave Sw, Ste C, Puyallup, WA 98373 Phone: 253-848-5951 Fax: 253-845-7073 |
Dr. Julia Trautschold, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3908 10th St Se, Puyallup, WA 98374 Phone: 253-848-5951 Fax: 253-845-7073 |
James Green, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 1322 3rd St Se, Suite 240, Puyallup, WA 98372 Phone: 253-697-1420 Fax: 253-697-1439 |