Chul Wha Kim, MD in Fairfax, VA - Medicare Anesthesiology

Chul Wha Kim, MD is a medicare enrolled "Anesthesiology" physician in Fairfax, Virginia. His current practice location is 10730 Main Street, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at (301) 317-0020.

Chul Wha Kim is licensed to practice in Virginia (license number ) 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 1750465407.

Contact Information

	Chul Wha Kim, MD
	10730 Main Street, Fairfax, VA 22030
	(301) 317-0020
	(301) 317-0028

Map and Direction

Physician's Profile

Full Name	Chul Wha Kim
Gender	Male
Speciality	Anesthesiology
Location	10730 Main Street, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750465407
Provider Enumeration Date: 10/25/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 5698758266
Enrollment ID: I20101027001148

Medical Identifiers

Medical identifiers for Chul Wha Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750465407	NPI	-	NPPES
9105	Other	DC	BLUESHIELD
0001	Other	DC	BLUESHIELD
283901	Other	VA	ANTHEM
G0034	Medicaid	TX
000P60A41	Medicaid	TX
5736315	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	(Virginia)	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. Chul Wha Kim allows following entities to bill medicare on his behalf.

Entity Name	Ambulatory Anesthesia Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548363740 PECOS PAC ID: 3274516042 Enrollment ID: O20040612000612

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. Chul Wha 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
Chul Wha Kim, MD Po Box 639, Laurel, MD 20725-0639 Ph: (301) 317-0020	Chul Wha Kim, MD 10730 Main Street, Fairfax, VA 22030 Ph: (301) 317-0020

Reviews and Comments

Anesthesiology Doctors in Fairfax, VA

Mrs. Gloria Gilbert Black, CRNA Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Barry Burureser Mcconville, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 10730 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028
Hang Jin Yoon, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10734 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028
Nancy R Couleman, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8501 Arlington Blvd, Suite 550, Fairfax, VA 22031 Phone: 703-573-2363 Fax: 703-573-7609
Sang Joong Jeon, MEDICAL DOCTOR Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10730 Main Street, Fairfax, VA 22030 Phone: 301-317-0020 Fax: 301-317-0028
Dr. Kaadze M Wright, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-295-9360 Fax: 703-295-9369
Dr. Jai K Lee, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3600 Joseph Siewick Dr, Fairfax, VA 22033 Phone: 703-391-3129 Fax: 703-295-9369

Chul Wha Kim, MD - Medicare Anesthesiology in Fairfax, VA