Sean Seungwon Kim, DO in Portland, OR - Medicare Family Practice

Sean Seungwon Kim, DO is a medicare enrolled "Family Medicine" physician in Portland, Oregon. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Portland Adventist Medical Center and his current practice location is 1350 Ne 122nd Ave, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 408-7010.

Sean Seungwon Kim is licensed to practice in Oregon (license number DO207145) 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 1235662727.

Contact Information

	Sean Seungwon Kim, DO
	1350 Ne 122nd Ave, Portland, OR 97230-2011
	(503) 408-7010
	(503) 408-7035

Map and Direction

Physician's Profile

Full Name	Sean Seungwon Kim
Gender	Male
Speciality	Family Practice
Experience	7 Years
Location	1350 Ne 122nd Ave, Portland, Oregon
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:

Sean Seungwon Kim attended and graduated from Michigan State University College Of Osteopathic Medicine in 2017

NPI Data:

NPI Number: 1235662727
Provider Enumeration Date: 04/11/2017
Last Update Date: 10/26/2021

Medicare PECOS Information:

PECOS PAC ID: 1355612672
Enrollment ID: I20210924002246

Medical Identifiers

Medical identifiers for Sean Seungwon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235662727	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5101025691 (Michigan)	Secondary
207Q00000X	Family Medicine	DO207145 (Oregon)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Adventist Health Portland	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Portland Adventist Medical Center	3274908819	221

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. Sean Seungwon Kim allows following entities to bill medicare on his behalf.

Entity Name	Portland Adventist Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215910302 PECOS PAC ID: 7012827876 Enrollment ID: O20040226000131

Entity Name	Portland Adventist Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750091021 PECOS PAC ID: 3274908819 Enrollment ID: O20230412001327

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. Sean Seungwon 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
Sean Seungwon Kim, DO 1350 Ne 122nd Ave, Portland, OR 97230-2011 Ph: (503) 408-7010	Sean Seungwon Kim, DO 1350 Ne 122nd Ave, Portland, OR 97230-2011 Ph: (503) 408-7010

Reviews and Comments

Family Medicine Doctors in Portland, OR

Brian Michael Lindeman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5005 Ne Sandy Blvd, Portland, OR 97213 Phone: 503-233-6940
Dr. Robert Brian Bettencourt, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11782 Sw Barnes Rd Ste 300, Portland, OR 97225 Phone: 503-214-5200 Fax: 503-906-6613
Katy L Bochat, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St Ste 454, Portland, OR 97213 Phone: 503-215-6405
Jonathan L Vinson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 839 Ne Holladay St, Portland, OR 97232 Phone: 503-203-0700
Dr. Timothy P Janzen, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10803 Se Cherry Blossom Dr, Portland, OR 97216 Phone: 503-261-7200 Fax: 503-261-7249
Alison Mitchell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5050 Ne Hoyt St, Suite 240, Portland, OR 97213 Phone: 503-215-6480
Dr. Steven Colin Jackson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 8th Floor, Portland, OR 97204 Phone: 503-988-3674 Fax: 503-988-5779

Sean Seungwon Kim, DO - Medicare Family Practice in Portland, OR