Kerry Christopher Biermann, M.D.
Individual provider Active NPI Family Medicine Physician · Camas, WA
NPI 1437299088 · NPPES record last updated Jan 22, 2019
Key facts
- NPI
- 1437299088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD00020112 (WA)
- Practice address
- 3240 NE 3Rd Ave
Camas, WA 98607-2408 - Phone
- (360) 838-2440
- Fax
- (360) 838-2450
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Klickitat County Public Hospital District No 1
Practice addresses (Care Compare)
317 Sanders Way
Goldendale, WA 98620-9059
Phone (509) 773-4017
Hospital & facility affiliations
- Adventist Health Home Care
- Klickitat Valley Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090715000130 | WA | Practitioner - Family Practice | 8224922604 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00020112 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Klickitat County Public Hospital District No 1 | Current |
Accepting new patients | |
| Klickitat County Public Hospital District No 1 | Current |
Accepting new patients | |
| Klickitat County Public Hospital District No 1 | Past | Accepting new patients |
Locations
317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017
310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151
Interoperability endpoints
- kbiermann@kvhealthfm.gwaydirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00020112 | WA | |
| Family Medicine Physician | 207Q00000X | MD00020112 | WA | Yes |
Addresses
Primary practice location
3240 NE 3Rd Ave
Camas, WA 98607-2408
Mailing address
3240 NE 3Rd Ave
Camas, WA 98607-2408
Phone (360) 838-2440
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8198624 | Medicaid | WA | |
| 1088211 | Medicaid | WA |
Other providers in Camas, WA
- Beri Eye Care Associates PC
- Heather Timara Beugli
- Bharthi Charugundla DMD PLLC
- Dawn Bhat
- Raghuram B Bhat
- Sawyer Mark Bierscheid
- Jennifer Bivona
- Bianca Blanco
- Maria N Bloomfield
- Blossom Natural Health and Wellness
All providers in Camas, WA · Family Medicine Physician in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.