Kenneth Murray Edstrom, MD in Puyallup, WA - Medicare Obstetrics & Gynecology

Kenneth Murray Edstrom, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Puyallup, Washington. His current practice location is 1701 3rd St Se, Suite 200, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 840-4444.

Kenneth Murray Edstrom is licensed to practice in Washington (license number MD00026074) 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 1649373663.

Contact Information

	Kenneth Murray Edstrom, MD
	1701 3rd St Se, Suite 200, Puyallup, WA 98372-4511
	(253) 840-4444
	(253) 840-5239

Map and Direction

Physician's Profile

Full Name	Kenneth Murray Edstrom
Gender	Male
Speciality	Obstetrics & Gynecology
Location	1701 3rd St Se, Puyallup, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649373663
Provider Enumeration Date: 09/06/2006
Last Update Date: 06/15/2012

Medicare PECOS Information:

PECOS PAC ID: 4880580190
Enrollment ID: I20191022003553

Medical Identifiers

Medical identifiers for Kenneth Murray Edstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649373663	NPI	-	NPPES
7085020	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	MD00026074 (Washington)	Primary

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. Kenneth Murray Edstrom allows following entities to bill medicare on his behalf.

Entity Name	General Conference Corp Of Sda
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275586877 PECOS PAC ID: 6608777628 Enrollment ID: O20040114000187

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. Kenneth Murray Edstrom 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
Kenneth Murray Edstrom, MD 1701 3rd St Se, Suite 200, Puyallup, WA 98372-4511 Ph: (253) 840-4444	Kenneth Murray Edstrom, MD 1701 3rd St Se, Suite 200, Puyallup, WA 98372-4511 Ph: (253) 840-4444

Reviews and Comments

Obstetrics & Gynecology Doctors in Puyallup, WA

Alexinna Ciana Johns, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1322 3rd St Se Ste 240, Puyallup, WA 98372 Phone: 253-697-5757
Mrs. Michelle Dawn Fears, WHNP Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 400 15th Ave Se, Puyallup, WA 98372 Phone: 253-697-1310
Dr. Virginia O White, Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1450 5th St Se Ste 3200, Puyallup, WA 98372 Phone: 253-697-3550
Laurie J Morris, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1701 3rd St Se, Suite 200, Puyallup, WA 98372 Phone: 253-840-4444 Fax: 253-840-5239
Victor L Obregon, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1703 S Meridian Ste 103, Puyallup, WA 98371 Phone: 253-848-2453
Jonathan Christopher Mitchell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11102 Sunrise Blvd E, Suite 110, Puyallup, WA 98374 Phone: 253-697-7350 Fax: 253-841-5962
Sam Hwa Song, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1408 3rd St Se, 150 & 200, Puyallup, WA 98372 Phone: 253-697-3550

Kenneth Murray Edstrom, MD - Medicare Obstetrics & Gynecology in Puyallup, WA