Charles V Edmond Jr, MD - Medicare Otolaryngology in Puyallup, WA

Charles V Edmond Jr, MD is a medicare enrolled "Otolaryngology" physician in Puyallup, Washington. He graduated from medical school in 1985 and has 39 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Proliance Surgeons Inc Ps and his current practice location is 104 27th Ave Se, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 770-9000.

Charles V Edmond Jr is licensed to practice in Washington (license number MD30364) 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 1851327324.

Contact Information

Charles V Edmond Jr, MD
104 27th Ave Se,
Puyallup, WA 98374-1145
(253) 770-9000
(253) 770-9712



Physician's Profile

Full NameCharles V Edmond Jr
GenderMale
SpecialityOtolaryngology
Experience39 Years
Location104 27th Ave Se, Puyallup, 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:
  • Charles V Edmond Jr graduated from medical school in 1985
  NPI Data:
  • NPI Number: 1851327324
  • Provider Enumeration Date: 06/24/2006
  • Last Update Date: 10/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1254593916
  • Enrollment ID: I20120426000157

Medical Identifiers

Medical identifiers for Charles V Edmond Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851327324NPI-NPPES
8145229MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology MD30364 (Washington)Primary
207YS0123XOtolaryngology - Facial Plastic Surgery MD00030364 (Washington)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Multicare Good Samaritan HospitalPuyallup, WAHospital
Tacoma General Allenmore HospitalTacoma, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Proliance Surgeons Inc Ps8527972900388

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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. Charles V Edmond Jr allows following entities to bill medicare on his behalf.
Entity NameProliance Surgeons Inc Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023170313
PECOS PAC ID: 8527972900
Enrollment ID: O20031119000128

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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. Charles V Edmond Jr 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
Charles V Edmond Jr, MD
Po Box 1205,
Puyallup, WA 98371-0231

Ph: (253) 770-9000
Charles V Edmond Jr, MD
104 27th Ave Se,
Puyallup, WA 98374-1145

Ph: (253) 770-9000

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Otolaryngology Doctors in Puyallup, WA

Dr. Todd Dwyer Jones, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 104 27th Ave Se, Puyallup, WA 98374
Phone: 253-770-9000    Fax: 253-770-9712
Vivian Mae Yu, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 104 27th Ave Se, Puyallup, WA 98374
Phone: 253-770-9000    Fax: 253-770-9712
Julie Allina Gustafson, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 104 27th Ave Se, Puyallup, WA 98374
Phone: 253-848-0368    Fax: 253-435-4937
Randall Paul Bennett, MD
Otolaryngology
Medicare: Medicare Enrolled
Practice Location: 104 27th Ave Se, Puyallup, WA 98374
Phone: 253-770-9000    Fax: 253-770-9712
Douglas D Backous, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 104 27th Ave Se, Puyallup, WA 98374
Phone: 253-770-9000    Fax: 253-770-9712
Dr. William Sterling Duke, MD
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1609 S Meridian, Puyallup, WA 98371
Phone: 253-697-8980    
Dr. Greg E. Davis, MD, MPH
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 104 27th Ave Se, Puyallup, WA 98374
Phone: 253-770-9000    Fax: 253-770-9712

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