| Dr Jong H Kim, MD | |
|
200 E 80th Pl, Ste 100e, Merrillville, IN 46410-5671 | |
| (219) 769-7536 | |
| (219) 736-1506 |
| Full Name | Dr Jong H Kim |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 46 Years |
| Location | 200 E 80th Pl, Merrillville, Indiana |
| 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 |
|---|---|---|---|
| 1891797569 | NPI | - | NPPES |
| 0000066817103 | Other | UNITED HEALTHCARE | |
| 000000080494 | Other | IN | ANTHEM |
| AS65769900001 | Other | CONN GEN | |
| 4520196 | Other | AETNA | |
| 00000053287J | Other | ANTHEM | |
| 452016 | Other | AETNA | |
| 100200870 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01036861A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The University Of Chicago Medical Center | Chicago, IL | Hospital |
| St Mary Medical Center Inc | Hobart, IN | Hospital |
| Community Hospital | Munster, IN | Hospital |
| Methodist Hospitals Inc | Gary, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The University Of Chicago | 7719899426 | 1421 |
| Entity Name | University Of Chicago |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821048786 PECOS PAC ID: 7719899426 Enrollment ID: O20040604000251 |
| Entity Name | Community Care Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457610487 PECOS PAC ID: 3678737012 Enrollment ID: O20120614000331 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jong H Kim, MD 200 E 80th Pl, Ste 100e, Merrillville, IN 46410-5671 Ph: (219) 769-7536 | Dr Jong H Kim, MD 200 E 80th Pl, Ste 100e, Merrillville, IN 46410-5671 Ph: (219) 769-7536 |
Johann David Farley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 8300 Broadway Ste D2, Merrillville, IN 46410 Phone: 219-649-0044 Fax: 219-649-0055 | |
Dr. Brian H Weiss, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 West 80th Ave., Ste A, Merrillville, IN 46410 Phone: 219-791-9785 Fax: 219-791-9787 | |
Dr. Oranu G Ibekie, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1574 E 85th Ave, Merrillville, IN 46410 Phone: 219-769-4400 Fax: 219-795-1419 | |
Dr. Syed S Kazmi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 616 W 81st Ave, Merrillville, IN 46410 Phone: 312-421-1016 | |
Fadi I Alzeidan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7863 Broadway, Merrillville, IN 46410 Phone: 219-769-6639 Fax: 219-769-0636 | |
Jessica Jean Glinski, DNP, FNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 5043 E 81st Ave, Merrillville, IN 46410 Phone: 219-707-5276 | |
Lauren Dandurand, AGACNP-BC Family Medicine Medicare: Medicare Enrolled Practice Location: 200 E 89th Ave Ste 2a, Merrillville, IN 46410 Phone: 219-736-2800 |