| Bu Jung Kim, MD | |
|
126 Market Way, Mount Pocono, PA 18344-1039 | |
| (570) 839-3633 | |
| (570) 839-6490 |
| Full Name | Bu Jung Kim |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 126 Market Way, Mount Pocono, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891257648 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MT219307 (Pennsylvania) | Secondary |
| 207Q00000X | Family Medicine | MD478380 (Pennsylvania) | Primary |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Mailing Address | Practice Location Address |
|---|---|
| Bu Jung Kim, MD 100 N Academy Ave, Danville, PA 17822-4903 Ph: (570) 271-6144 | Bu Jung Kim, MD 126 Market Way, Mount Pocono, PA 18344-1039 Ph: (570) 839-3633 |
Dr. Paul W. Bisio, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 21 Commerce Cir, Mount Pocono, PA 18344 Phone: 570-839-3633 Fax: 570-839-6490 | |
Dr. Matthew R. Kozma, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 Market Way, Mount Pocono, PA 18344 Phone: 570-839-3633 Fax: 570-839-6490 | |
Mohammad Shakhawat Hossain, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 Market Way, Mount Pocono, PA 18344 Phone: 570-839-3633 Fax: 570-839-6490 | |
Dr. Sylvia M. Bolock, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 126 Market Way, Mount Pocono, PA 18344 Phone: 570-839-3633 |