Sereyrath Lim, NP in Longview, WA - Medicare Nurse Practitioner

Sereyrath Lim, NP is a medicare enrolled "Nurse Practitioner - Family" in Longview, Washington. He graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Cowlitz Family Health Center, Family Medicine Clinic Of Federal Way and his current practice location is 1057 12th Ave, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 261-7848.

Sereyrath Lim is licensed to practice in Washington (license number AP61521919) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1407618754.

Contact Information

	Sereyrath Lim, NP
	1057 12th Ave, Longview, WA 98632-2509
	(360) 261-7848
	(360) 414-1342

Map and Direction

Provider's Profile

Full Name	Sereyrath Lim
Gender	Male
Speciality	Nurse Practitioner
Experience	3 Years
Location	1057 12th Ave, Longview, Washington
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sereyrath Lim graduated from nursing school in 2023

NPI Data:

NPI Number: 1407618754
Provider Enumeration Date: 01/23/2024
Last Update Date: 04/29/2026

Medicare PECOS Information:

PECOS PAC ID: 3779921895
Enrollment ID: I20240409000432

Medical Identifiers

Medical identifiers for Sereyrath Lim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407618754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP61521919 (Washington)	Primary
363L00000X	Nurse Practitioner	AP61521919 (Washington)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Tacoma General Allenmore Hospital	Tacoma, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Cowlitz Family Health Center	5991696395	22
Family Medicine Clinic Of Federal Way	3577597194	3

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. Sereyrath Lim allows following entities to bill medicare on his behalf.

Entity Name	South Hill Family Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538253331 PECOS PAC ID: 8729980396 Enrollment ID: O20040123000443

Entity Name	Family Medicine Clinic Of Federal Way
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629113956 PECOS PAC ID: 3577597194 Enrollment ID: O20050922001261

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. Sereyrath Lim 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
Sereyrath Lim, NP 2425 31st Ave Sw Unit B, Puyallup, WA 98373-4012 Ph: (253) 330-4777	Sereyrath Lim, NP 1057 12th Ave, Longview, WA 98632-2509 Ph: (360) 261-7848

Reviews and Comments

Nurse Practitioner Nurses in Longview, WA

Kelly Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 800-813-2000
Lori Davis Ryan, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1044 11th Ave, Longview, WA 98632 Phone: 360-575-8275 Fax: 360-575-1950
Dr. Steven Robert Spence Jr., DNP, ARNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-816-5706 Fax: 360-696-5038
Mandy Turner, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1339 Commerce Ave Ste 312, Longview, WA 98632 Phone: 360-747-1073
Nichol Suzanne Halverson, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862
Holly Wells, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2385 Fax: 360-414-2386
Ms. Jan Carlin Khouri, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 784 14th Ave, Longview, WA 98632 Phone: 360-703-6400

Sereyrath Lim, NP - Medicare Nurse Practitioner in Longview, WA