Dr Teerawit Supakorndej, MD - Medicare Dermatology in Mill Creek, WA

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Dr Teerawit Supakorndej, MD is a medicare enrolled "Dermatology" physician in Mill Creek, Washington. He went to Washington University School Of Medicine and graduated in 2016 and has 10 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Optum Care Washington Pllc and his current practice location is 15418 Main St, Mill Creek, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 339-5417.

Dr Teerawit Supakorndej is licensed to practice in Washington (license number MD61047461) 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 1336599208.

Contact Information

Dr Teerawit Supakorndej, MD
15418 Main St,
Mill Creek, WA 98012-9030
(425) 339-5417
Not Available

Map and Direction




Physician's Profile

Full NameDr Teerawit Supakorndej
GenderMale
SpecialityDermatology
Experience10 Years
Location15418 Main St, Mill Creek, Washington
Accepts Medicare AssignmentsYes. 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 Teerawit Supakorndej attended and graduated from Washington University School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1336599208
  • Provider Enumeration Date: 06/21/2016
  • Last Update Date: 07/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4082983945
  • Enrollment ID: I20201015001838

Medical Identifiers

Medical identifiers for Dr Teerawit Supakorndej such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336599208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 2016018207 (Missouri)Secondary
207N00000XDermatology MD61047461 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Optum Care Washington Pllc6406752153697

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 Teerawit Supakorndej allows following entities to bill medicare on his behalf.
Entity NameOptum Care Washington Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922

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 Teerawit Supakorndej 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 AddressPractice Location Address
Dr Teerawit Supakorndej, MD
7600 Evergreen Way,
Everett, WA 98203-6421

Ph: (206) 860-5414		Dr Teerawit Supakorndej, MD
15418 Main St,
Mill Creek, WA 98012-9030

Ph: (425) 339-5417

Reviews and Comments


Dermatology Doctors in Mill Creek, WA

Joy Makdisi, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15906 Mill Creek Blvd, Ste 105, Mill Creek, WA 98012
Phone: 425-385-2009    Fax: 425-939-0807
Joy C Wu, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15906 Mill Creek Blvd, Ste 105, Mill Creek, WA 98012
Phone: 425-385-2009    Fax: 425-939-0807
Navid David Malakouti, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15906 Mill Creek Blvd, Mill Creek, WA 98012
Phone: 425-385-2009    Fax: 425-939-0807
Mustufa Abbas Jafry, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15906 Mill Creek Blvd Ste 105, Mill Creek, WA 98012
Phone: 425-385-2009    Fax: 425-939-0807
Dr. Ian Ferguson, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15906 Mill Creek Blvd Ste 105, Mill Creek, WA 98012
Phone: 425-385-2009    Fax: 425-939-0807
Hyunhee Park, D.O.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15906 Mill Creek Blvd, Suite 105, Mill Creek, WA 98012
Phone: 425-324-3494    Fax: 425-939-0807
Dr. Ein Gun Song, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 15906 Mill Creek Blvd Ste 105, Mill Creek, WA 98012
Phone: 425-385-2009    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.