Brandon Hoongyung Kim, is a medicare enrolled "Internal Medicine - Rheumatology" physician in Locust Valley, New York. His current practice location is
480 Forest Ave, Locust Valley, New York. You can reach out to his office (for appointments etc.) via phone at
(631) 271-1640.
Brandon Hoongyung Kim is licensed to practice in New York (license number 331687) 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 1992267173.
Physician's Profile
| Full Name | Brandon Hoongyung Kim |
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| Gender | Male |
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| Speciality | Internal Medicine - Rheumatology |
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| Location | 480 Forest Ave, Locust Valley, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992267173
- Provider Enumeration Date: 04/05/2019
- Last Update Date: 06/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 6406213594
- Enrollment ID: I20240815004496
Medical Identifiers
Medical identifiers for Brandon Hoongyung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992267173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 331687 (New York) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207RR0500X | Internal Medicine - Rheumatology | 331687 (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. Brandon Hoongyung Kim allows following entities to bill medicare on his behalf.
| Entity Name | North Shore-lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Brandon Hoongyung 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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Brandon Hoongyung Kim,
480 Forest Ave,
Locust Valley, NY 11560-2151
Ph: (631) 271-1640 | Brandon Hoongyung Kim,
480 Forest Ave,
Locust Valley, NY 11560-2151
Ph: (631) 271-1640 |
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