David Kim, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Fairfax, Virginia. He went to Rutgers New Jersey Medical School and graduated in 1998 and has 28 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. His current practice location is
10721 Main St Ste 304, Fairfax, Virginia. You can reach out to his office (for appointments etc.) via phone at
(703) 349-4205.
David Kim is licensed to practice in Virginia (license number 0101234009) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073530523.
Physician's Profile
| Full Name | David Kim |
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| Gender | Male |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 28 Years |
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| Location | 10721 Main St Ste 304, Fairfax, Virginia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- David Kim attended and graduated from Rutgers New Jersey Medical School in 1998
NPI Data:
- NPI Number: 1073530523
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 11/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103882360
- Enrollment ID: I20220302001810
Medical Identifiers
Medical identifiers for David Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1073530523 | NPI | - | NPPES |
| 266870 | Other | VA | ANTHEM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 0101234009 (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. David Kim allows following entities to bill medicare on his behalf.
| Entity Name | Spine And Sports Regenerative Medicine Institute |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114764107
PECOS PAC ID: 0244771988
Enrollment ID: O20240920001476 |
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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. David 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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David Kim, MD
10721 Main St Ste 304,
Fairfax, VA 22030-6902
Ph: (037) 349-4205 | David Kim, MD
10721 Main St Ste 304,
Fairfax, VA 22030-6902
Ph: (703) 349-4205 |
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