Dae Hoon Kim, is a medicare enrolled "Physical Therapist" provider in Middletown, New York. His current practice location is
156 Dolson Ave, Middletown, New York. You can reach out to his office (for appointments etc.) via phone at
(646) 306-8442.
Dae Hoon Kim is licensed to practice in New York (license number 043734) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1073237400.
Healthcare Provider's Profile
| Full Name | Dae Hoon Kim |
|---|
| Gender | Male |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 156 Dolson Ave, Middletown, New York |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1073237400
- Provider Enumeration Date: 09/29/2022
- Last Update Date: 08/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 9739546607
- Enrollment ID: I20230608000106
Medical Identifiers
Medical identifiers for Dae Hoon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073237400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 007776 (New York) | Secondary |
| 225100000X | Physical Therapist | 043734 (New York) | 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. Dae Hoon Kim allows following entities to bill medicare on his behalf.
| Provider Name | Move Fit Physical Therapy PC |
|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1891484952
PECOS PAC ID: 5294192167
Enrollment ID: O20230608000050 |
|---|
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. Dae Hoon 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 |
|---|
Dae Hoon Kim,
156 Dolson Ave,
Middletown, NY 10940-6568
Ph: Not Available | Dae Hoon Kim,
156 Dolson Ave,
Middletown, NY 10940-6568
Ph: (646) 306-8442 |
Reviews and Comments