| Dr Dominic Kim, MD | |
|
1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 | |
| (240) 857-2333 | |
| Not Available |
| Full Name | Dr Dominic Kim |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1060 W Perimeter Rd, Jb Andrews, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316332323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 0101262931 (Ohio) | Primary |
| Entity Name | Bethesda Emergency Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639125941 PECOS PAC ID: 4880581297 Enrollment ID: O20040301001187 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dominic Kim, MD 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: () - | Dr Dominic Kim, MD 1060 W Perimeter Rd, Jb Andrews, MD 20762-6602 Ph: (240) 857-2333 |
David Basile, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 888-999-1212 | |
Nathan Marc Kinder, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1051 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 | |
Daniel Jonathan Silver, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 | |
Alexis Corcoran, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 188-899-9121 | |
Daniel Keith Clark, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 | |
Sandra L Mccatty, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1060 W Perimeter Rd, Jb Andrews, MD 20762 Phone: 240-857-2333 |