Dr Jong Duk Kim, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Saint Paul, Minnesota. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1995 and has 31 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Allina Health System and his current practice location is
640 Jackson St, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 254-2987.
Dr Jong Duk Kim is licensed to practice in Minnesota (license number 47957) 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 1679548036.
Physician's Profile
| Full Name | Dr Jong Duk Kim |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 31 Years |
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| Location | 640 Jackson St, Saint Paul, Minnesota |
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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 Jong Duk Kim attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1995
NPI Data:
- NPI Number: 1679548036
- Provider Enumeration Date: 02/21/2006
- Last Update Date: 03/03/2026
Medicare PECOS Information:
- PECOS PAC ID: 2961438726
- Enrollment ID: I20050713000105
Medical Identifiers
Medical identifiers for Dr Jong Duk Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1679548036 | NPI | - | NPPES |
| 141600600 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 47957 (Minnesota) | Primary |
| 174400000X | Specialist | 47957 (Minnesota) | Secondary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Mercy Hospital | Coon rapids, MN | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Allina Health System | 4587573613 | 3584 |
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 Jong Duk Kim allows following entities to bill medicare on his behalf.
| Entity Name | Allina Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460 |
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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 Jong Duk 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 Jong Duk Kim, MD
8170 33rd Ave S # Ms 21110q,
Bloomington, MN 55425-4516
Ph: () - | Dr Jong Duk Kim, MD
640 Jackson St,
Saint Paul, MN 55101-2502
Ph: (651) 254-2987 |
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