Dr Kullatham Kongpakpaisarn, MD in Bellevue, WA

Dr Kullatham Kongpakpaisarn, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in Bellevue, Washington. His current practice location is 11511 Ne 10th St, Bellevue, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 502-3000.

Dr Kullatham Kongpakpaisarn is licensed to practice in Washington (license number MD61436567) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1174972624.

Contact Information

	Dr Kullatham Kongpakpaisarn, MD
	11511 Ne 10th St, Bellevue, WA 98004-8578
	(425) 502-3000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kullatham Kongpakpaisarn
Gender	Male
Speciality	Internal Medicine - Pulmonary Disease
Location	11511 Ne 10th St, Bellevue, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1174972624
Provider Enumeration Date: 06/06/2016
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 9335515022
Enrollment ID: I20231110002465

Medical Identifiers

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

Identifier	Type	State	Issuer
1174972624	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RP1001X	Internal Medicine - Pulmonary Disease	MD61436567 (Washington)	Primary
207RS0012X	Internal Medicine - Sleep Medicine	61436567 (Washington)	Secondary

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 Kullatham Kongpakpaisarn allows following entities to bill medicare on his behalf.

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

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 Kullatham Kongpakpaisarn 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 Kullatham Kongpakpaisarn, MD 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000	Dr Kullatham Kongpakpaisarn, MD 11511 Ne 10th St, Bellevue, WA 98004-8578 Ph: (425) 502-3000

Reviews and Comments

Internal Medicine Doctors in Bellevue, WA

Joseph W Doucette, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, Suite 600, Bellevue, WA 98004 Phone: 425-454-2656 Fax: 425-990-5261
Roanne R E Selinger, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, #560, Bellevue, WA 98004 Phone: 425-454-4768 Fax: 425-462-8021
Patsy C Lazarous, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 11511 Ne 10th St, Bellevue, WA 98004 Phone: 425-502-3000 Fax: 844-620-1839
Dr. Patricia Martin, MD Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1407 116th Ave Ne, Suite 200, Bellevue, WA 98004 Phone: 425-454-5046 Fax: 425-990-5261
Dr. Rahil Barketali Roopani, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 1800 116th Ave Ne Ste 102, Bellevue, WA 98004 Phone: 425-947-9485 Fax: 425-977-9034
David C Morton, M.D. Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, Suite 110a, Bellevue, WA 98004 Phone: 425-289-3100 Fax: 425-289-3103
Shie-pon Tzung, MD PHD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 1135 116th Ave Ne, #560, Bellevue, WA 98004 Phone: 425-454-4768 Fax: 425-462-8021

Dr Kullatham Kongpakpaisarn, MD - Medicare Internal Medicine in Bellevue, WA