Mark S Kim, MD - Medicare Vascular Surgery in Puyallup, WA

Mark S Kim, MD is a medicare enrolled "Phlebology" physician in Puyallup, Washington. He went to Baylor College Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Vascular Surgery. His current practice location is 1803 S Meridian, Puyallup, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 268-3400.

Mark S Kim is licensed to practice in Washington (license number MD00038816) 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 1053403634.

Contact Information

Mark S Kim, MD
1803 S Meridian,
Puyallup, WA 98371
(253) 268-3400
(253) 268-3870



Physician's Profile

Full NameMark S Kim
GenderMale
SpecialityVascular Surgery
Experience27 Years
Location1803 S Meridian, 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:
  • Mark S Kim attended and graduated from Baylor College Of Medicine in 1997
  NPI Data:
  • NPI Number: 1053403634
  • Provider Enumeration Date: 09/29/2006
  • Last Update Date: 01/15/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6709911803
  • Enrollment ID: I20100315000580

Medical Identifiers

Medical identifiers for Mark S Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053403634NPI-NPPES
8255697MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine MD00038816 (Washington)Secondary
202K00000XPhlebology MD00038816 (Washington)Primary

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. Mark S Kim allows following entities to bill medicare on his behalf.
Entity NameEterna Vein & Medical Aesthetics, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366785685
PECOS PAC ID: 4486897303
Enrollment ID: O20200604001487

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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. Mark S 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
Mark S Kim, MD
1803 S Meridian,
Puyallup, WA 98371-7513

Ph: (253) 589-6573
Mark S Kim, MD
1803 S Meridian,
Puyallup, WA 98371

Ph: (253) 268-3400

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