| Dr Kibem Kim, MD | |
|
260 N 7th St, Chambersburg, PA 17201-1722 | |
| (717) 262-4660 | |
| (717) 263-6251 |
| Full Name | Dr Kibem Kim |
|---|---|
| Gender | Male |
| Speciality | Radiation Oncology |
| Experience | 8 Years |
| Location | 260 N 7th St, Chambersburg, Pennsylvania |
| 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 |
|---|---|---|---|
| 1023549748 | NPI | - | NPPES |
| 104040366 | Medicaid | PA | |
| MD477525 | Other | PA | STATE LICENSE |
| 15566127 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0001X | Radiology - Radiation Oncology | MD477525 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chambersburg Hospital | Chambersburg, PA | Hospital |
| Waynesboro Hospital | Waynesboro, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wellspan Medical Group | 1951213115 | 2052 |
| Entity Name | Wellspan Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669770004 PECOS PAC ID: 1951213115 Enrollment ID: O20040220000815 |
| Entity Name | Chambersburg Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104882174 PECOS PAC ID: 7214917533 Enrollment ID: O20040726000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kibem Kim, MD 601 Memory Ln, York, PA 17402-2231 Ph: (717) 851-1405 | Dr Kibem Kim, MD 260 N 7th St, Chambersburg, PA 17201-1722 Ph: (717) 262-4660 |
Dr. Stephen Thuahnai, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 Penncraft Ave, Suite E, Chambersburg, PA 17201 Phone: 717-263-1383 Fax: 717-263-7434 | |
Niteen N Sukerkar, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 25 Penncraft Ave, Suite E, Chambersburg, PA 17201 Phone: 717-263-1383 Fax: 717-263-7434 | |
Jeffrey Adam Solomon, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 12 St Paul Drive, Wellspan Radiology, Chambersburg, PA 17201 Phone: 717-217-6026 | |
Ann E Lewandowski, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 25 Penncraft Ave, Suite E, Chambersburg, PA 17201 Phone: 717-263-1383 Fax: 717-263-7434 | |
Michael Anthony Branco, RT(R)(CT)(MR) Radiology Medicare: Not Enrolled in Medicare Practice Location: 340 Wellslee Dr, Chambersburg, PA 17201 Phone: 717-658-1567 | |
Robert S Pyatt Jr., M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 144 S 8th St Ste 108, Chambersburg, PA 17201 Phone: 717-263-1383 Fax: 717-263-7434 |