| Dr Jong Duk Kim, MD | |
|
640 Jackson St, Saint Paul, MN 55101-2502 | |
| (651) 254-2987 | |
| (651) 254-1603 |
| Full Name | Dr Jong Duk Kim |
|---|---|
| Gender | Male |
| Speciality | Thoracic Surgery |
| Experience | 31 Years |
| Location | 640 Jackson St, Saint Paul, Minnesota |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679548036 | NPI | - | NPPES |
| 141600600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 47957 (Minnesota) | Primary |
| 174400000X | Specialist | 47957 (Minnesota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Hospital | Coon rapids, MN | Hospital |
| Regions Hospital | Saint paul, MN | Hospital |
| Buffalo Hospital | Buffalo, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allina Health System | 4587573613 | 3861 |
| Group Health Plan Inc | 1759293954 | 1637 |
| Entity Name | Allina Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
| Mailing Address | Practice Location Address |
|---|---|
| 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 |
Douglas Rawling Baldwin, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2987 Fax: 651-254-1603 | |
Jonathan Peter Boksberger, D.O. Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2987 Fax: 651-254-1603 |