Dr Eli Yong Kim, MD is a medicare enrolled "Dermatology" physician in Ooltewah, Tennessee. He went to Loma Linda University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Dermatology. His current practice location is
5545 Little Debbie Pkwy, Ooltewah, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(407) 451-6307.
Dr Eli Yong Kim is licensed to practice in Tennessee (license number 50377) 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 1861727802.
Physician's Profile
| Full Name | Dr Eli Yong Kim |
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| Gender | Male |
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| Speciality | Dermatology |
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| Experience | 17 Years |
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| Location | 5545 Little Debbie Pkwy, Ooltewah, Tennessee |
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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 Eli Yong Kim attended and graduated from Loma Linda University School Of Medicine in 2007
NPI Data:
- NPI Number: 1861727802
- Provider Enumeration Date: 10/08/2009
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961670542
- Enrollment ID: I20130925000959
Medical Identifiers
Medical identifiers for Dr Eli Yong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861727802 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 070656 (Georgia) | Secondary |
| 207N00000X | Dermatology | 50377 (Tennessee) | 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. Dr Eli Yong Kim allows following entities to bill medicare on his behalf.
| Entity Name | Skin Cancer & Cosmetic Dermatology Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144419458
PECOS PAC ID: 8224118773
Enrollment ID: O20080109000552 |
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| Entity Name | Es Health Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740995968
PECOS PAC ID: 2668838061
Enrollment ID: O20230509002208 |
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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 Eli Yong 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 Eli Yong Kim, MD
5545 Little Debbie Pkwy,
Ooltewah, TN 37363-4357
Ph: (407) 451-6307 | Dr Eli Yong Kim, MD
5545 Little Debbie Pkwy,
Ooltewah, TN 37363-4357
Ph: (407) 451-6307 |
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