Dr Sang In Kim, MD is a medicare enrolled "Dermatology" physician in Fpo, Armed Forces Pacific. His current practice location is
Psc 475, Fpo, Armed Forces Pacific. You can reach out to his office (for appointments etc.) via phone at
(816) 046-8761.
Dr Sang In Kim is licensed to practice in Indiana (license number 01074680A) 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 1881033223.
Physician's Profile
Full Name | Dr Sang In Kim |
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Gender | Male |
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Speciality | Dermatology |
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Location | Psc 475, Fpo, Armed Forces Pacific |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1881033223
- Provider Enumeration Date: 06/19/2013
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 0941667802
- Enrollment ID: I20230607003817
Medical Identifiers
Medical identifiers for Dr Sang In Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881033223 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 01074680A (Indiana) | Secondary |
207N00000X | Dermatology | 01074680A (Indiana) | 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 Sang In Kim allows following entities to bill medicare on his behalf.
Entity Name | Guam Dermatology Institute Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306404413 PECOS PAC ID: 7012341456 Enrollment ID: O20191218001233 |
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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 Sang In 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 Sang In Kim, MD Psc 475 Box 1, Fpo, AP 96350-1200 Ph: () - | Dr Sang In Kim, MD Psc 475, Fpo, AP 96350-9998 Ph: (816) 046-8761 |
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