Theodore Tae-hun Kim, MD is a medicare enrolled "Allergy & Immunology" physician in Chantilly, Virginia. He went to George Washington University School Of Medicine and graduated in 1994 and has 30 years of diverse experience with area of expertise as Allergy/immunology. He is a member of the group practice Allergy Partners Pllc and his current practice location is
14520 Avion Pkwy Ste 150, Chantilly, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 378-5155.
Theodore Tae-hun Kim is licensed to practice in Virginia (license number 0101239690) 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 1982694618.
Physician's Profile
| Full Name | Theodore Tae-hun Kim |
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| Gender | Male |
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| Speciality | Allergy/immunology |
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| Experience | 30 Years |
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| Location | 14520 Avion Pkwy Ste 150, Chantilly, Virginia |
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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:
- Theodore Tae-hun Kim attended and graduated from George Washington University School Of Medicine in 1994
NPI Data:
- NPI Number: 1982694618
- Provider Enumeration Date: 10/25/2005
- Last Update Date: 10/31/2023
Medicare PECOS Information:
- PECOS PAC ID: 8224036066
- Enrollment ID: I20070612000170
Medical Identifiers
Medical identifiers for Theodore Tae-hun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982694618 | NPI | - | NPPES |
| 1982694618 | Medicaid | VA | |
| G02511A01 | Other | DC | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207K00000X | Allergy & Immunology | 0101239690 (Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Allergy Partners Pllc | 7113822420 | 149 |
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. Theodore Tae-hun Kim allows following entities to bill medicare on his behalf.
| Entity Name | Allergy Partners Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700950045
PECOS PAC ID: 7113822420
Enrollment ID: O20070612000141 |
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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. Theodore Tae-hun 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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Theodore Tae-hun Kim, MD
Po Box 603725,
Charlotte, NC 28260-3725
Ph: (828) 575-2625 | Theodore Tae-hun Kim, MD
14520 Avion Pkwy Ste 150,
Chantilly, VA 20151-1165
Ph: (703) 378-5155 |
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