Khamphoucanh Southisombath, MD in Federal Way, WA

Khamphoucanh Southisombath, MD is a medicare enrolled "Family Medicine" physician in Federal Way, Washington. She went to University Of California, San Diego School Of Medicine and graduated in 2013 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Neighborcare Health, The Association Of University Physicians and her current practice location is 32018 23rd Ave S, Federal Way, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 520-5000.

Khamphoucanh Southisombath is licensed to practice in Washington (license number MD60658344) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114316734.

Contact Information

	Khamphoucanh Southisombath, MD
	32018 23rd Ave S, Federal Way, WA 98003-6022
	(206) 520-5000
	(206) 520-1799

Map and Direction

Physician's Profile

Full Name	Khamphoucanh Southisombath
Gender	Female
Speciality	Family Practice
Experience	12 Years
Location	32018 23rd Ave S, Federal Way, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Khamphoucanh Southisombath attended and graduated from University Of California, San Diego School Of Medicine in 2013

NPI Data:

NPI Number: 1114316734
Provider Enumeration Date: 01/20/2015
Last Update Date: 07/17/2025

Medicare PECOS Information:

PECOS PAC ID: 9032417654
Enrollment ID: I20160621002324

Medical Identifiers

Medical identifiers for Khamphoucanh Southisombath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114316734	NPI	-	NPPES
1114316734	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD60658344 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Neighborcare Health	0143134205	82
The Association Of University Physicians	0446162697	3327

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. Khamphoucanh Southisombath allows following entities to bill medicare on her behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

Entity Name	Neighborcare Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578593562 PECOS PAC ID: 0143134205 Enrollment ID: O20040128000573

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. Khamphoucanh Southisombath 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
Khamphoucanh Southisombath, MD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 520-5700	Khamphoucanh Southisombath, MD 32018 23rd Ave S, Federal Way, WA 98003-6022 Ph: (206) 520-5000

Reviews and Comments

Family Medicine Doctors in Federal Way, WA

Dr. Allen Charles Alleman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 34616 11th Pl S, Ste #4, Federal Way, WA 98003 Phone: 253-927-9460 Fax: 253-927-2168
Ariahnna Lynne Croskey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 33431 13th Pl S, Federal Way, WA 98003 Phone: 253-874-7634 Fax: 253-874-7635
Charanjit Virk, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 31675 Pacific Hwy S, Federal Way, WA 98003 Phone: 253-215-1093 Fax: 253-215-1094
Dr. Peter Muench, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33431 13th Pl S, Federal Way, WA 98003 Phone: 253-874-7634 Fax: 253-874-7635
Dr. Christine Li-huan Tam, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S 320th St, Federal Way, WA 98003 Phone: 253-874-7958
Peter Littlewood, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 33431 13th Pl S, Federal Way, WA 98003 Phone: 253-874-7634 Fax: 253-874-7635
Dr. Carla Podgurecki, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 34616 11th Pl S, Ste 4, Federal Way, WA 98003 Phone: 253-927-2150 Fax: 253-927-2851

Khamphoucanh Southisombath, MD - Medicare Family Practice in Federal Way, WA