Dr Eun Jong Kim, MD is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Albert Lea, Minnesota. She graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Physical Medicine And Rehabilitation. She is a member of the group practice Mayo Clinic Health System-southeast Minnesota Region and her current practice location is
404 W Fountain St, Albert Lea, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 373-2384.
Dr Eun Jong Kim is licensed to practice in Minnesota (license number 51157) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1487811782.
Physician's Profile
| Full Name | Dr Eun Jong Kim |
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| Gender | Female |
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| Speciality | Physical Medicine And Rehabilitation |
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| Experience | 29 Years |
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| Location | 404 W Fountain St, Albert Lea, Minnesota |
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| Accepts Medicare Assignments | Yes. She 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 Eun Jong Kim graduated from medical school in 1995
NPI Data:
- NPI Number: 1487811782
- Provider Enumeration Date: 05/22/2008
- Last Update Date: 09/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 6608949292
- Enrollment ID: I20080715000432
Medical Identifiers
Medical identifiers for Dr Eun Jong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487811782 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 103699 (Minnesota) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 51157 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mayo Clinic Health System-southeast Minnesota Region | 4385556703 | 573 |
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 Eun Jong Kim allows following entities to bill medicare on her behalf.
| Entity Name | Mayo Clinic Health System-southeast Minnesota Region |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891701637
PECOS PAC ID: 4385556703
Enrollment ID: O20031104000408 |
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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 Eun Jong 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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Dr Eun Jong Kim, MD
404 W Fountain St,
Albert Lea, MN 56007-2437
Ph: (507) 373-2384 | Dr Eun Jong Kim, MD
404 W Fountain St,
Albert Lea, MN 56007-2437
Ph: (507) 373-2384 |
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