Dr Teerawit Supakorndej, MD - Medicare Dermatology in Everett, WA

Dr Teerawit Supakorndej, MD is a medicare enrolled "Dermatology" physician in Everett, Washington. He went to Washington University School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice The Everett Clinic Pllc and his current practice location is 4004 Colby Ave, Everett, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 339-5417.

Dr Teerawit Supakorndej is licensed to practice in Washington (license number MD61047461) 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 1336599208.

Contact Information

Dr Teerawit Supakorndej, MD
4004 Colby Ave,
Everett, WA 98201-6203
(425) 339-5417
(425) 339-5429



Physician's Profile

Full NameDr Teerawit Supakorndej
GenderMale
SpecialityDermatology
Experience8 Years
Location4004 Colby Ave, Everett, 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:
  • Dr Teerawit Supakorndej attended and graduated from Washington University School Of Medicine in 2016
  NPI Data:
  • NPI Number: 1336599208
  • Provider Enumeration Date: 06/21/2016
  • Last Update Date: 09/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4082983945
  • Enrollment ID: I20201015001838

Medical Identifiers

Medical identifiers for Dr Teerawit Supakorndej such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336599208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD61047461 (Washington)Primary
207R00000XInternal Medicine 2016018207 (Missouri)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Everett Clinic Pllc6406752153552

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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. Dr Teerawit Supakorndej allows following entities to bill medicare on his behalf.
Entity NameThe Everett Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831186766
PECOS PAC ID: 6406752153
Enrollment ID: O20031211000922

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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. Dr Teerawit Supakorndej 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
Dr Teerawit Supakorndej, MD
Po Box 5127,
Everett, WA 98206-5127

Ph: (425) 339-5417
Dr Teerawit Supakorndej, MD
4004 Colby Ave,
Everett, WA 98201-6203

Ph: (425) 339-5417

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Dermatology Doctors in Everett, WA

Dr. Mark Conrad Valentine, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3327 Colby Ave, Everett, WA 98201
Phone: 425-258-6767    Fax: 425-259-6260
Jane M Nosal, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 4004 Colby Ave, Everett, WA 98201
Phone: 425-259-0966    
Dr. Zarry Tavakkol, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Colby Ave, Everett, WA 98201
Phone: 425-339-5417    
Dr. Susan Oldenkamp, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 12811 8th Ave W, Suite D-109, Everett, WA 98204
Phone: 425-743-7888    Fax: 425-355-3055
Hana Kathryn Stelle, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Colby Ave, Everett, WA 98201
Phone: 425-339-5431    Fax: 425-339-5429
Lucy Chao, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4004 Colby Ave, Everett, WA 98201
Phone: 425-339-5417    Fax: 425-339-5429

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