Mrs Soon Kim, MD - Medicare General Surgery in Gardnerville, NV

Mrs Soon Kim, MD is a medicare enrolled "Surgery" physician in Gardnerville, Nevada. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Mesquite Clinic Management Company Llc and her current practice location is 1516 Virginia Ranch Rd, Gardnerville, Nevada. You can reach out to her office (for appointments etc.) via phone at (775) 783-3020.

Mrs Soon Kim is licensed to practice in Nevada (license number 10696) 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 1649381153.

Contact Information

Mrs Soon Kim, MD
1516 Virginia Ranch Rd,
Gardnerville, NV 89410-5794
(775) 783-3020
(775) 783-3021

Map and Direction




Physician's Profile

Full NameMrs Soon Kim
GenderFemale
SpecialityGeneral Surgery
Experience32 Years
Location1516 Virginia Ranch Rd, Gardnerville, Nevada
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Soon Kim attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1992
  NPI Data:
  • NPI Number: 1649381153
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 01/21/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 6800871179
  • Enrollment ID: I20040621001553

Medical Identifiers

Medical identifiers for Mrs Soon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649381153NPI-NPPES
100502384MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 10696 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mesa View Regional HospitalMesquite, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mesquite Clinic Management Company Llc812345645619

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. Mrs Soon Kim allows following entities to bill medicare on her behalf.
Entity NameMesquite Clinic Management Company Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548800501
PECOS PAC ID: 8123456456
Enrollment ID: O20200319000698

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. Mrs Soon 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 AddressPractice Location Address
Mrs Soon Kim, MD
1516 Virginia Ranch Rd,
Gardnerville, NV 89410-5794

Ph: (775) 783-3020
Mrs Soon Kim, MD
1516 Virginia Ranch Rd,
Gardnerville, NV 89410-5794

Ph: (775) 783-3020

Reviews and Comments


Surgery Doctors in Gardnerville, NV


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.