| Dr Min Sun Kim, MD | |
|
405 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 | |
| (865) 238-6430 | |
| (865) 238-6444 |
| Full Name | Dr Min Sun Kim |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 26 Years |
| Location | 405 Bmh Physicians Office Bldg, Maryville, Tennessee |
| 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 |
|---|---|---|---|
| 1740227339 | NPI | - | NPPES |
| Q099228 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | D66122 (Maryland) | Secondary |
| 208600000X | Surgery | 72778 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Blount Memorial Hospital | Maryville, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Blount Memorial Physician Group Inc | 6406844174 | 234 |
| Entity Name | Blount Memorial Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Min Sun Kim, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: () - | Dr Min Sun Kim, MD 405 Bmh Physicians Office Bldg, Maryville, TN 37804-5807 Ph: (865) 238-6430 |
Melissa Emlyn Trekell, M.D.,FACS,M.B.A. Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5244 Fax: 865-980-5245 | |
Dr. Julie Ann Elisabeth Corcoran, DO, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-681-4800 Fax: 865-681-5558 | |
Stephen E Pacifico, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-238-6430 Fax: 865-238-6444 | |
Dr. John R Reisser, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5244 Fax: 865-980-5245 | |
Dr. Daniel Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5244 Fax: 865-980-5245 | |
Mr. Randal L Croshaw, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Bmh Cancer Ctr, Maryville, TN 37804 Phone: 865-980-5277 Fax: 865-980-5278 |