Robert Dong Kim, MD in Portland, OR - Medicare Pulmonary Disease

Robert Dong Kim, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Portland, Oregon. He went to University Of Wisconsin School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Legacy Clinics Llc, Providence Health And Services Oregon and his current practice location is 9427 Sw Barnes Rd Ste 296, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 297-3778.

Robert Dong Kim is licensed to practice in Wisconsin (license number 48138) 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 1780620096.

Contact Information

	Robert Dong Kim, MD
	9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667
	(503) 297-3778
	(503) 297-7853

Map and Direction

Physician's Profile

Full Name	Robert Dong Kim
Gender	Male
Speciality	Pulmonary Disease
Experience	22 Years
Location	9427 Sw Barnes Rd Ste 296, Portland, Oregon
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Robert Dong Kim attended and graduated from University Of Wisconsin School Of Medicine in 2002

NPI Data:

NPI Number: 1780620096
Provider Enumeration Date: 06/22/2006
Last Update Date: 01/14/2021

Medicare PECOS Information:

PECOS PAC ID: 5597783738
Enrollment ID: I20090924000569

Medical Identifiers

Medical identifiers for Robert Dong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780620096	NPI	-	NPPES
2017147	Medicaid	WA
500609710	Medicaid	OR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	48138 (Wisconsin)	Primary
207RC0200X	Internal Medicine - Critical Care Medicine	MD126279 (Oregon)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	MD126279 (Oregon)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Legacy Good Samaritan Medical Center	Portland, OR	Hospital
Providence St Vincent Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Legacy Clinics Llc	0244144004	603
Providence Health And Services Oregon	0648183608	1328

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. Robert Dong Kim allows following entities to bill medicare on his behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Legacy Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

Entity Name	Legacy Meridian Park Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184647620 PECOS PAC ID: 5092609842 Enrollment ID: O20040211001181

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. Robert Dong 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
Robert Dong Kim, MD 847 Ne 19th Ave, Suite 300, Portland, OR 97232-2684 Ph: (503) 963-2801	Robert Dong Kim, MD 9427 Sw Barnes Rd Ste 296, Portland, OR 97225-6667 Ph: (503) 297-3778

Reviews and Comments

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Robert Dong Kim, MD - Medicare Pulmonary Disease in Portland, OR