Kyong Ho Kim, DO - Medicare Interventional Pain Management in Lakewood, WA

Kyong Ho Kim, DO is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Lakewood, Washington. He graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Sound Pain Alliance, Pain Care Physicians Pllc and his current practice location is 11306 Bridgeport Way Sw, Suite D, Lakewood, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 983-9390.

Kyong Ho Kim is licensed to practice in Washington (license number OP00001595) 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 1124009303.

Contact Information

Kyong Ho Kim, DO
11306 Bridgeport Way Sw, Suite D,
Lakewood, WA 98499-3037
(253) 983-9390
(253) 983-0066



Physician's Profile

Full NameKyong Ho Kim
GenderMale
SpecialityInterventional Pain Management
Experience33 Years
Location11306 Bridgeport Way Sw, Lakewood, 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:
  • Kyong Ho Kim graduated from medical school in 1991
  NPI Data:
  • NPI Number: 1124009303
  • Provider Enumeration Date: 11/07/2005
  • Last Update Date: 02/15/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254224389
  • Enrollment ID: I20040204000336

Medical Identifiers

Medical identifiers for Kyong Ho Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124009303NPI-NPPES
1002900MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207L00000XAnesthesiology OP00001595 (Washington)Secondary
208VP0014XPain Medicine - Interventional Pain Medicine OP00001595 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Clare HospitalLakewood, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sound Pain Alliance094156516236
Pain Care Physicians Pllc953744893112

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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. Kyong Ho Kim allows following entities to bill medicare on his behalf.
Entity NamePuget Sound Pain Clinic Ps
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053431684
PECOS PAC ID: 9537052667
Enrollment ID: O20040203001108

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Entity NamePain Care Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144779232
PECOS PAC ID: 9537448931
Enrollment ID: O20161107001926

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Entity NameSound Pain Alliance
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649776394
PECOS PAC ID: 0941565162
Enrollment ID: O20180517001248

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Entity NamePain Care Physicians Pllc
Entity TypePart B Supplier - Ambulatory Surgical Center
Entity IdentifiersNPI Number: 1144779232
PECOS PAC ID: 9537448931
Enrollment ID: O20200424000295

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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. Kyong Ho 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 AddressPractice Location Address
Kyong Ho Kim, DO
Po Box 39324,
Lakewood, WA 98496-3324

Ph: (253) 983-9390
Kyong Ho Kim, DO
11306 Bridgeport Way Sw, Suite D,
Lakewood, WA 98499-3037

Ph: (253) 983-9390

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Pain Medicine Doctors in Lakewood, WA

Dr. Matthew Timothy Mcewan, D.O.
Pain Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11306 Bridgeport Way Sw Ste D, Lakewood, WA 98499
Phone: 253-983-9390    

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