Se Jung Shin, MD - Medicare Emergency Medicine in Renton, WA

Se Jung Shin, MD is a medicare enrolled "Emergency Medicine" physician in Renton, Washington. His current practice location is 10555 Se Carr Rd Bldg M, Renton, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 656-4270.

Se Jung Shin is licensed to practice in Washington (license number MD00038373) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881665099.

Contact Information

Se Jung Shin, MD
10555 Se Carr Rd Bldg M,
Renton, WA 98055-5820
(425) 656-4270
(425) 656-4271



Physician's Profile

Full NameSe Jung Shin
GenderMale
SpecialityEmergency Medicine
Location10555 Se Carr Rd Bldg M, Renton, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881665099
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 04/30/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9436046521
  • Enrollment ID: I20040804000497

Medical Identifiers

Medical identifiers for Se Jung Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881665099NPI-NPPES
130308MedicaidOR
G8959946OtherWAMEDICARE
2065309MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD22180 (Oregon)Secondary
207P00000XEmergency Medicine MD00038373 (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. Se Jung Shin allows following entities to bill medicare on his behalf.
Entity NameValley Medical Group-renton
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619209574
PECOS PAC ID: 4183753965
Enrollment ID: O20100604000113

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Entity NamePacific Northwest Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215561998
PECOS PAC ID: 9133559255
Enrollment ID: O20200413003585

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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. Se Jung Shin 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
Se Jung Shin, MD
3600 Lind Ave Sw,
Renton, WA 98057-4934

Ph: (425) 228-3440
Se Jung Shin, MD
10555 Se Carr Rd Bldg M,
Renton, WA 98055-5820

Ph: (425) 656-4270

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Emergency Medicine Doctors in Renton, WA

Peter R. Schmidt, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055
Phone: 425-228-3450    
Karl H Kaufmann, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055
Phone: 425-228-3450    
Stephen William Bretz, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055
Phone: 425-251-3440    
Paul Alfred Lee, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 S 43rd St, Emergency Department, Renton, WA 98055
Phone: 425-228-3440    Fax: 425-656-5016
Gabrielle Dionyse Lauren Bernard, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1205 N 10th St Ste A, Renton, WA 98057
Phone: 425-690-3475    Fax: 425-690-9475
Larry J Kadeg, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 S 43rd St, Er Dept, Renton, WA 98055
Phone: 425-228-3450    
Dr. Chad Lowell Ulrich, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 400 S 43rd St, Renton, WA 98055
Phone: 425-228-3440    

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