Lydia R Kim, MD in Stockton, CA - Medicare Dermatology

Lydia R Kim, MD is a medicare enrolled "Dermatology" physician in Stockton, California. She went to University Of Wisconsin School Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Permanente Medical Group Inc and her current practice location is 7373 West Ln Ste 355, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 476-2166.

Lydia R Kim is licensed to practice in California (license number A150150) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1801139068.

Contact Information

	Lydia R Kim, MD
	7373 West Ln Ste 355, Stockton, CA 95210-3377
	(209) 476-2166
	Not Available

Map and Direction

Physician's Profile

Full Name	Lydia R Kim
Gender	Female
Speciality	Dermatology
Experience	12 Years
Location	7373 West Ln Ste 355, Stockton, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lydia R Kim attended and graduated from University Of Wisconsin School Of Medicine in 2012

NPI Data:

NPI Number: 1801139068
Provider Enumeration Date: 04/05/2013
Last Update Date: 12/17/2021

Medicare PECOS Information:

PECOS PAC ID: 4284931015
Enrollment ID: I20171130001209

Medical Identifiers

Medical identifiers for Lydia R Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801139068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	64429 (Wisconsin)	Secondary
207N00000X	Dermatology	A150150 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permanente Medical Group Inc	8921910225	7800

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. Lydia R Kim allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Lydia R 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
Lydia R Kim, MD 600 Highland Ave, Madison, WI 53792-0001 Ph: () -	Lydia R Kim, MD 7373 West Ln Ste 355, Stockton, CA 95210-3377 Ph: (209) 476-2166

Reviews and Comments

Dermatology Doctors in Stockton, CA

Moses Elam, MD Dermatology Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Stuart I Jacobs, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5345 N El Dorado St, Ste 12, Stockton, CA 95207 Phone: 209-957-6662 Fax: 209-957-0310
Karen B. Bissell, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Elizabeth M. Kass, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2000
Amanzoopinder Samrao, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2166
Gerald N Bock, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1617 St Marks Plaza, C, Stockton, CA 95207 Phone: 209-956-4260 Fax: 209-475-6002
Walter Stanley Yourchek, MD Dermatology Medicare: Medicare Enrolled Practice Location: 4553 Quail Lakes Dr, Stockton, CA 95207 Phone: 209-951-1133 Fax: 209-951-4708

Lydia R Kim, MD - Medicare Dermatology in Stockton, CA