Dr Chin Se Kim, MD is a medicare enrolled "Neuromusculoskeletal Medicine, Sports Medicine" physician in Anaheim, California. He graduated from medical school in 1981 and has 45 years of diverse experience with area of expertise as Internal Medicine. His current practice location is
1736 W Medical Center Dr, Suite B, Anaheim, California. You can reach out to his office (for appointments etc.) via phone at
(714) 520-0809.
Dr Chin Se Kim is licensed to practice in California (license number A46079) 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 1477564607.
Physician's Profile
| Full Name | Dr Chin Se Kim |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 45 Years |
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| Location | 1736 W Medical Center Dr, Anaheim, California |
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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:
- Dr Chin Se Kim graduated from medical school in 1981
NPI Data:
- NPI Number: 1477564607
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 05/05/2008
Medicare PECOS Information:
- PECOS PAC ID: 8224072608
- Enrollment ID: I20050616000376
Medical Identifiers
Medical identifiers for Dr Chin Se Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477564607 | NPI | - | NPPES |
| 00A46079 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | A46079 (California) | Primary |
| 207R00000X | Internal Medicine | A46079 (California) | Secondary |
| 207RS0010X | Internal Medicine - Sports Medicine | A46079 (California) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | A46079 (California) | Secondary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
|---|
| Ace Home Health, Inc. | Los angeles, CA | Home health agency |
| Good People Home Health, Inc. | Fullerton, CA | Home health agency |
| Divine Home Health, Inc | La mirada, CA | Home health agency |
| Cross Care, Inc | Los angeles, CA | Home health agency |
| Greenfield Care Center Of Fullerton, Llc | Fullerton, CA | Nursing home |
| Buena Park Nursing Center | Buena park, CA | Nursing home |
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. Dr Chin Se Kim allows following entities to bill medicare on his behalf.
| Entity Name | Chin Se Kim, MD Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356671861
PECOS PAC ID: 1850584376
Enrollment ID: O20101018000062 |
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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. Dr Chin Se 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 |
|---|
Dr Chin Se Kim, MD
1736 W Medical Center Dr, Suite B,
Anaheim, CA 92801-1854
Ph: (714) 520-0809 | Dr Chin Se Kim, MD
1736 W Medical Center Dr, Suite B,
Anaheim, CA 92801-1854
Ph: (714) 520-0809 |
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