| John Y Kim, DO | |
|
1615 Delaware St, Longview, WA 98632-2367 | |
| (360) 636-4831 | |
| Not Available |
| Full Name | John Y Kim |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 13 Years |
| Location | 1615 Delaware St, Longview, 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 |
|---|---|---|---|
| 1114288560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS018199 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | OP60648272 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Swedish Medical Center | Seattle, WA | Hospital |
| Swedish Issaquah | Issaquah, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastside Emergency Physicians Pllc | 5193725372 | 51 |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831139724 PECOS PAC ID: 9537072814 Enrollment ID: O20031112000189 |
| Entity Name | Eastside Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689683229 PECOS PAC ID: 5193725372 Enrollment ID: O20070111000647 |
| Mailing Address | Practice Location Address |
|---|---|
| John Y Kim, DO 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 636-4831 | John Y Kim, DO 1615 Delaware St, Longview, WA 98632-2367 Ph: (360) 636-4831 |
Dr. Ryan Michael Caulfield, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-636-4830 | |
Dr. Rusty Wes Gust, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Aftab A Awan, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739 | |
Paul A Schneider, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Gary Elliot Penner, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000 | |
Dr. Joshua Russell, M.D., MSC Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, St Johns Hospital - Peacehealth, Longview, WA 98632 Phone: 360-414-2000 |