Dr Jun Dong Kim, DO is a medicare enrolled "Obstetrics & Gynecology" physician in East Chicago, Indiana. He graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice 219 Health Network Inc and his current practice location is
100 W Chicago Ave Ste F, East Chicago, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 392-7016.
Dr Jun Dong Kim is licensed to practice in Indiana (license number 02004986A) 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 1336411610.
Physician's Profile
| Full Name | Dr Jun Dong Kim |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 14 Years |
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| Location | 100 W Chicago Ave Ste F, East Chicago, Indiana |
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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 Jun Dong Kim graduated from medical school in 2010
NPI Data:
- NPI Number: 1336411610
- Provider Enumeration Date: 02/02/2012
- Last Update Date: 07/31/2019
Medicare PECOS Information:
- PECOS PAC ID: 5193942415
- Enrollment ID: I20190724000709
Medical Identifiers
Medical identifiers for Dr Jun Dong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336411610 | NPI | - | NPPES |
| 036136056 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 036136056 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 02004986A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| 219 Health Network Inc | 0547521452 | 28 |
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 Jun Dong Kim allows following entities to bill medicare on his behalf.
| Entity Name | 219 Health Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093213506
PECOS PAC ID: 0547521452
Enrollment ID: O20180308002615 |
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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 Jun Dong 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 Jun Dong Kim, DO
338 Larry Power Rd,
Bourbonnais, IL 60914-4430
Ph: (815) 935-4651 | Dr Jun Dong Kim, DO
100 W Chicago Ave Ste F,
East Chicago, IN 46312-3261
Ph: (219) 392-7016 |
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