Kyong Ho Kim, DO - Medicare Interventional Pain Management in Lakewood, WA

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Kyong Ho Kim, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Lakewood, Washington. He graduated from medical school in 1991 and has 35 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Sound Pain Alliance and his current practice location is 11306 Bridgeport Way Sw, Suite D, Lakewood, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 983-9390.

Kyong Ho Kim is licensed to practice in Washington (license number OP00001595) 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 1124009303.

Contact Information

Kyong Ho Kim, DO
11306 Bridgeport Way Sw, Suite D,
Lakewood, WA 98499-3037
(253) 983-9390
(253) 983-0066

Map and Direction




Physician's Profile

Full NameKyong Ho Kim
GenderMale
SpecialityInterventional Pain Management
Experience35 Years
Location11306 Bridgeport Way Sw, Lakewood, 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:
  • Kyong Ho Kim graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1124009303
  • Provider Enumeration Date: 11/07/2005
  • Last Update Date: 02/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254224389
  • Enrollment ID: I20040204000336

Medical Identifiers

Medical identifiers for Kyong Ho Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124009303NPI-NPPES
1002900MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology OP00001595 (Washington)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine OP00001595 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Clare HospitalLakewood, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sound Pain Alliance094156516243

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. Kyong Ho Kim allows following entities to bill medicare on his behalf.
Entity NamePain Care Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144779232
PECOS PAC ID: 9537448931
Enrollment ID: O20161107001926
Entity NameSound Pain Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649776394
PECOS PAC ID: 0941565162
Enrollment ID: O20180517001248
Entity NamePain Care Physicians Pllc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1144779232
PECOS PAC ID: 9537448931
Enrollment ID: O20200424000295

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. Kyong Ho Kim 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
Kyong Ho Kim, DO
Po Box 39324,
Lakewood, WA 98496-3324

Ph: (253) 983-9390		Kyong Ho Kim, DO
11306 Bridgeport Way Sw, Suite D,
Lakewood, WA 98499-3037

Ph: (253) 983-9390

Reviews and Comments


Pain Medicine Doctors in Lakewood, WA

Changho Yi, MD
Pain Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 11306 Bridgeport Way Sw Ste D, Lakewood, WA 98499
Phone: 253-983-9390    
Dr. Matthew Timothy Mcewan, D.O.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11306 Bridgeport Way Sw Ste D, Lakewood, WA 98499
Phone: 253-983-9390    

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.