Dr Peter K Kim, MD in Warwick, RI

Dr Peter K Kim, MD is a medicare enrolled "Surgery" physician in Warwick, Rhode Island. His current practice location is 455 Toll Gate Rd, Warwick, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 737-7010.

Dr Peter K Kim is licensed to practice in Rhode Island (license number MD18930) 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 1205943511.

Contact Information

	Dr Peter K Kim, MD
	455 Toll Gate Rd, Warwick, RI 02886-2759
	(401) 737-7010
	(401) 738-0013

Map and Direction

Physician's Profile

Full Name	Dr Peter K Kim
Gender	Male
Speciality	Surgery
Location	455 Toll Gate Rd, Warwick, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205943511
Provider Enumeration Date: 08/23/2006
Last Update Date: 01/09/2023

Medicare PECOS Information:

PECOS PAC ID: 7517141310
Enrollment ID: I20240619000678

Medical Identifiers

Medical identifiers for Dr Peter K Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205943511	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	235272 (New York)	Secondary
208600000X	Surgery	MD18930 (Rhode Island)	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 Peter K Kim allows following entities to bill medicare on his behalf.

Entity Name	Tanana Valley Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922559558 PECOS PAC ID: 5698056901 Enrollment ID: O20161228001991

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 Peter K 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
Dr Peter K Kim, MD 55 First St, Apt. 312, Pelham, NY 10803-1451 Ph: (914) 772-3443	Dr Peter K Kim, MD 455 Toll Gate Rd, Warwick, RI 02886-2759 Ph: (401) 737-7010

Reviews and Comments

Surgery Doctors in Warwick, RI

Taher Mustafa Gulamhusein, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-738-6611 Fax: 401-921-6952
Dr. John Isaac Jr., M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 390 Toll Gate Rd, Ste.200, Warwick, RI 02886 Phone: 401-739-8010 Fax: 401-739-6087
Dr. Daniel B. Reardon, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 390 Toll Gate Rd, Ste.200, Warwick, RI 02886 Phone: 401-691-3300 Fax: 401-739-6087
Dr. Sebastian Trombatore, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 300 Toll Gate Rd, Suite 305, Warwick, RI 02886 Phone: 401-738-6611 Fax: 401-738-0013
Shakti Aishwarya Rau, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 455 Toll Gate Rd, Warwick, RI 02886 Phone: 401-738-6611 Fax: 401-921-6952
Joseph J Brady, MD Surgery Medicare: May Accept Medicare Assignments Practice Location: 227 Centerville Rd, Suite 2, Warwick, RI 02886 Phone: 401-737-4828 Fax: 401-732-8484

Dr Peter K Kim, MD - Medicare Surgery in Warwick, RI