Dr Chong S Kim, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Holmdel, New Jersey. He went to State University Of Ny Upstate Medical University and graduated in 2000 and has 24 years of diverse experience with area of expertise as Otolaryngology. His current practice location is
100 Commons Way, Suite 701, Holmdel, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 796-0182.
Dr Chong S Kim is licensed to practice in New Jersey (license number MA72196) 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 1265478036.
Physician's Profile
| Full Name | Dr Chong S Kim |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 24 Years |
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| Location | 100 Commons Way, Holmdel, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Chong S Kim attended and graduated from State University Of Ny Upstate Medical University in 2000
NPI Data:
- NPI Number: 1265478036
- Provider Enumeration Date: 06/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9830097997
- Enrollment ID: I20031229000008
Medical Identifiers
Medical identifiers for Dr Chong S Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265478036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YS0123X | Otolaryngology - Facial Plastic Surgery | MA72196 (New Jersey) | Primary |
Medical Facilities Affiliation
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 Chong S Kim allows following entities to bill medicare on his behalf.
| Entity Name | Hb Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881027308
PECOS PAC ID: 0547494031
Enrollment ID: O20131017000052 |
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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 Chong 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 Address | Practice Location Address |
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Dr Chong S Kim, MD
17 Bridgepointe Dr,
Laurence Harbor, NJ 08879-2909
Ph: (732) 290-7861 | Dr Chong S Kim, MD
100 Commons Way, Suite 701,
Holmdel, NJ 07733-2934
Ph: (732) 796-0182 |
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