| Allis Kim, MD | |
|
65 Fremont St, Marlborough, MA 01752-1271 | |
| (508) 485-3665 | |
| (508) 485-0899 |
| Full Name | Allis Kim |
|---|---|
| Gender | Female |
| Speciality | Orthopedic Surgery |
| Experience | 30 Years |
| Location | 65 Fremont St, Marlborough, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053400879 | NPI | - | NPPES |
| 7446715 | Other | NY | AETNA |
| 10100115 | Other | NY | CDPHP |
| 658G61 | Other | NY | EMPIRE BC |
| 02670579 | Medicaid | NY | |
| 790107 | Other | NY | MVP |
| 000409533001 | Other | NY | BS NENY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 157401 (Massachusetts) | Primary |
| 207XX0801X | Orthopaedic Surgery - Orthopaedic Trauma | 157401 (Massachusetts) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Emerson Hospital - | W concord, MA | Hospital |
| Lowell General Hospital | Lowell, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Orthopaedic Surgical Associates Of Lowell, P.c. | 4880506484 | 43 |
| Entity Name | Orthopaedic Surgical Associates Of Lowell, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457361040 PECOS PAC ID: 4880506484 Enrollment ID: O20051108000244 |
| Entity Name | Emerson Practice Associates, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508020199 PECOS PAC ID: 8123188117 Enrollment ID: O20081120000518 |
| Entity Name | Orthopaedic Associates Of Marlboro, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235174699 PECOS PAC ID: 1759445158 Enrollment ID: O20090129000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Allis Kim, MD 65 Fremont St, Marlborough, MA 01752-1271 Ph: (508) 485-3665 | Allis Kim, MD 65 Fremont St, Marlborough, MA 01752-1271 Ph: (508) 485-3665 |
Tara Baxter, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 65 Fremont St Ofc 1, Marlborough, MA 01752 Phone: 508-485-3665 Fax: 508-485-0899 |