Dr Kenneth Wayne Kooser, MD in Lacey, WA - Medicare Family Practice

Dr Kenneth Wayne Kooser, MD is a medicare enrolled "Family Medicine" physician in Lacey, Washington. He went to University Of Washington School Of Medicine and graduated in 1999 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Health And Services Washington and his current practice location is 4800 College St Se, Lacey, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 486-2900.

Dr Kenneth Wayne Kooser is licensed to practice in Washington (license number MD60320788) 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 1306920772.

Contact Information

	Dr Kenneth Wayne Kooser, MD
	4800 College St Se, Lacey, WA 98503-4389
	(360) 486-2900
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Wayne Kooser
Gender	Male
Speciality	Family Practice
Experience	25 Years
Location	4800 College St Se, Lacey, 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:

Dr Kenneth Wayne Kooser attended and graduated from University Of Washington School Of Medicine in 1999

NPI Data:

NPI Number: 1306920772
Provider Enumeration Date: 10/24/2006
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 1355533076
Enrollment ID: I20130604000722

Medical Identifiers

Medical identifiers for Dr Kenneth Wayne Kooser such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306920772	NPI	-	NPPES
1306920772	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD60320788 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Sound Homecare & Hospice	Lacey, WA	Home health agency
Assured Home Health And Hospice	Centralia, WA	Home health agency
Providence St Peter Hospital	Olympia, WA	Hospital
Providence Centralia Hospital	Centralia, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Washington	6709782600	393

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. Dr Kenneth Wayne Kooser allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

Entity Name	Providence Health & Services- Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205931508 PECOS PAC ID: 2365427556 Enrollment ID: O20040622000640

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. Dr Kenneth Wayne Kooser 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
Dr Kenneth Wayne Kooser, MD Po Box 3360, Portland, OR 97208-3360 Ph: (866) 366-2983	Dr Kenneth Wayne Kooser, MD 4800 College St Se, Lacey, WA 98503-4389 Ph: (360) 486-2900

Reviews and Comments

Family Medicine Doctors in Lacey, WA

Dr. Dirk Francis Havlak, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5130 Corporate Center Ct Se, Lacey, WA 98503 Phone: 360-413-8600
Cecilia Christensen, PHYSICIAN ASSISTANT Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4840
Dr. Robert Dewey Vandenberg, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4044 15th Ave Se, Suite A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090
Dr. Ann Tosomeen, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3928 Pacific Avenue, Lacey, WA 98503 Phone: 360-455-1350
Carlos Armando Rubio-reyes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2555 Marvin Rd Ne, Lacey, WA 98516 Phone: 360-413-4200
Yan Geng, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1450 Northwest Ln Se Ste A, Lacey, WA 98503 Phone: 360-491-4460 Fax: 360-491-3090
Dr. Abraham Wuseok Jeon, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4800 College St Se, Pmg Sw Wa Lacey Fam Med, Lacey, WA 98503 Phone: 360-486-2900 Fax: 360-486-2901

Dr Kenneth Wayne Kooser, MD - Medicare Family Practice in Lacey, WA