Dr S John Kim, MD is a
Psychiatry & Neurology - Psychiatry physician based in Hales Corners, Wisconsin. Dr S John Kim is licensed to practice in Wisconsin (license number 25060-020) and his current practice location is 10555 W Parnell Ave, Hales Corners, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(414) 427-5200.
NPI number for Dr S John Kim is 1760599807 and his current mailing address is 10555 W Parnell Ave, Hales Corners, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760599807.
Physician's Profile
| Full Name | Dr S John Kim |
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| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 10555 W Parnell Ave, Hales Corners, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760599807
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Dr S John Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760599807 | NPI | - | NPPES |
| 30565800 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25060-020 (Wisconsin) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 23181 (Iowa) | Secondary |
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 S John Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr S John Kim, MD
10555 W Parnell Ave,
Hales Corners, WI 53130-2000
Ph: (414) 427-5200 | Dr S John Kim, MD
10555 W Parnell Ave,
Hales Corners, WI 53130-2000
Ph: (414) 427-5200 |
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