Chulachak Jon Sukachevin, MD - Medicare Family Practice in Camas, WA

Chulachak Jon Sukachevin, MD is a medicare enrolled "Family Medicine" physician in Camas, Washington. He went to Loma Linda University School Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Kaiser Foundation Health Plan Of The Northwest and his current practice location is 411 Ne 6th Ave, Camas, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 834-2863.

Chulachak Jon Sukachevin is licensed to practice in Washington (license number MD 60173771) 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 1386644417.

Contact Information

Chulachak Jon Sukachevin, MD
411 Ne 6th Ave,
Camas, WA 98607-2037
(360) 834-2863
(360) 834-0160



Physician's Profile

Full NameChulachak Jon Sukachevin
GenderMale
SpecialityFamily Practice
Experience28 Years
Location411 Ne 6th Ave, Camas, 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:
  • Chulachak Jon Sukachevin attended and graduated from Loma Linda University School Of Medicine in 1996
  NPI Data:
  • NPI Number: 1386644417
  • Provider Enumeration Date: 07/29/2005
  • Last Update Date: 02/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7214129311
  • Enrollment ID: I20101115000978

Medical Identifiers

Medical identifiers for Chulachak Jon Sukachevin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386644417NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine D0054571 (Maryland)Secondary
207Q00000XFamily Medicine MD15286 (Oregon)Secondary
207Q00000XFamily Medicine MD 60173771 (Washington)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kaiser Foundation Health Plan Of The Northwest57996882301482

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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. Chulachak Jon Sukachevin allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of The Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040220000099

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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. Chulachak Jon Sukachevin 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
Chulachak Jon Sukachevin, MD
411 Ne 6th Ave,
Camas, WA 98607-2037

Ph: (360) 834-2863
Chulachak Jon Sukachevin, MD
411 Ne 6th Ave,
Camas, WA 98607-2037

Ph: (360) 834-2863

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Family Medicine Doctors in Camas, WA

Cassandra Huang, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4500 Se Columbia Palisades Drive, Camas, WA 98607
Phone: 360-882-2778    
Dr. Elizabeth Anne Muzik, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1625 Se 192nd Ave, #100, Camas, WA 98607
Phone: 360-566-4840    Fax: 360-566-4842
Kristin Headrick,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1625 Se 192nd Ave Ste 100, Camas, WA 98607
Phone: 360-566-4840    
Dr. David Alan Peto, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1602 Nw 38th Ave, Camas, WA 98607
Phone: 360-834-9277    
Mr. David J Hagen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 327 Ne 5th Ave, Camas, WA 98607
Phone: 360-834-3141    Fax: 360-834-2334
Dr. Sarah Sue Louise Winslow, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 315 Ne 192nd Ave, Suite 310, Camas, WA 98607
Phone: 360-729-8200    Fax: 360-729-8201

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