Mark S Kim, MD in Puyallup, WA - Medicare Vascular Surgery

Mark S Kim, MD is a medicare enrolled "Phlebology" physician in Puyallup, Washington. He went to Baylor College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Vascular Surgery. His current practice location is 1803 S Meridian, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 268-3400.

Mark S Kim is licensed to practice in Washington (license number MD00038816) 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 1053403634.

Contact Information

	Mark S Kim, MD
	1803 S Meridian, Puyallup, WA 98371
	(253) 268-3400
	(253) 268-3870

Map and Direction

Physician's Profile

Full Name	Mark S Kim
Gender	Male
Speciality	Vascular Surgery
Experience	27 Years
Location	1803 S Meridian, Puyallup, 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.

Medical Education and Training:

Mark S Kim attended and graduated from Baylor College Of Medicine in 1997

NPI Data:

NPI Number: 1053403634
Provider Enumeration Date: 09/29/2006
Last Update Date: 01/15/2019

Medicare PECOS Information:

PECOS PAC ID: 6709911803
Enrollment ID: I20100315000580

Medical Identifiers

Medical identifiers for Mark S Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053403634	NPI	-	NPPES
8255697	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD00038816 (Washington)	Secondary
202K00000X	Phlebology	MD00038816 (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. Mark S Kim allows following entities to bill medicare on his behalf.

Entity Name	Eterna Vein & Medical Aesthetics, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366785685 PECOS PAC ID: 4486897303 Enrollment ID: O20200604001487

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. Mark S 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 Address	Practice Location Address
Mark S Kim, MD 1803 S Meridian, Puyallup, WA 98371-7513 Ph: (253) 589-6573	Mark S Kim, MD 1803 S Meridian, Puyallup, WA 98371 Ph: (253) 268-3400

Mark S Kim, MD - Medicare Vascular Surgery in Puyallup, WA