Dr Michael Jin Kim, MD - Medicare Family Medicine in Travis Afb, CA

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Dr Michael Jin Kim, MD is a medicare enrolled "Family Medicine" physician in Travis Afb, California. His current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-3749.

Dr Michael Jin Kim is licensed to practice in Illinois (license number 036.143899) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1609289636.

Contact Information

Dr Michael Jin Kim, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809
(707) 423-3749
Not Available

Map and Direction




Physician's Profile

Full NameDr Michael Jin Kim
GenderMale
SpecialityFamily Medicine
Location101 Bodin Cir, Travis Afb, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609289636
  • Provider Enumeration Date: 06/06/2014
  • Last Update Date: 12/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8527284389
  • Enrollment ID: I20171212003280

Medical Identifiers

Medical identifiers for Dr Michael Jin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609289636NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 036143899 (Illinois)Secondary
207Q00000XFamily Medicine 036.143899 (Illinois)Primary

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 Michael Jin Kim allows following entities to bill medicare on his behalf.
Entity NameCepamerica Illinois Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912283110
PECOS PAC ID: 3274793633
Enrollment ID: O20120322000587
Entity NameVituity - Illinois Auc Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306334198
PECOS PAC ID: 0547516932
Enrollment ID: O20180627000637

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 Michael Jin 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 AddressPractice Location Address
Dr Michael Jin Kim, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: () -		Dr Michael Jin Kim, MD
101 Bodin Cir,
Travis Afb, CA 94535-1809

Ph: (707) 423-3749

Reviews and Comments


Family Medicine Doctors in Travis Afb, CA

Dr. Patrick Aaron Shea, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3369    
Brett C Johnson, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3383    
Dr. Breanna L Gawrys, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3057    
Courtney Ann Dawley, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-3000    Fax: 707-423-3501
Dr. Brian M Davis, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7113    
Dr. David M Olson, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Circle, Travis Afb, CA 94535
Phone: 707-423-3842    
Dr. Kristen Elizabeth Taleck, MD
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 101 Bodin Cir, Travis Afb, CA 94535
Phone: 707-423-7622    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.