| Dr Sang Won Dacri-kim, DO | |
|
1970 Tamarack Rd., Newark, OH 43055 | |
| (740) 344-2452 | |
| (740) 522-7305 |
| Full Name | Dr Sang Won Dacri-kim |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 35 Years |
| Location | 1970 Tamarack Rd., Newark, Ohio |
| 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 |
|---|---|---|---|
| 1043385529 | NPI | - | NPPES |
| 2028577 | Medicaid | OH | |
| P00397004 | Other | OH | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 34006602 (Ohio) | Secondary |
| 2086S0129X | Surgery - Vascular Surgery | 34006602 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ashtabula County Medical Center | Ashtabula, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ashtabula County Medical Center | 2668465600 | 63 |
| Entity Name | Ashtabula County Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942247143 PECOS PAC ID: 2668465600 Enrollment ID: O20040406000897 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sang Won Dacri-kim, DO 1970 Tamarack Rd., Newark, OH 43055 Ph: (740) 344-2452 | Dr Sang Won Dacri-kim, DO 1970 Tamarack Rd., Newark, OH 43055 Ph: (740) 344-2452 |
Dr. William H Phillips, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1371 West Main Street, Newark, OH 43055 Phone: 220-564-1965 Fax: 220-564-1966 | |
Dr. Larry Pasley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1272 W Main St, Bldg. 3, Newark, OH 43055 Phone: 740-348-1880 Fax: 740-348-1881 | |
Dr. Brent M Savage, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Messimer Dr, Newark, OH 43055 Phone: 220-564-1880 Fax: 220-564-1881 | |
Mr. John Marvin Mitchell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Messimer Dr, Newark, OH 43055 Phone: 220-564-1880 Fax: 220-564-1881 | |
Ahmed F. Kandeel, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1272 West Main Street, Suite 302, Newark, OH 43055 Phone: 220-564-1880 Fax: 220-564-1881 | |
Dr. Alex D Juan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1970 Tamarack Rd, Newark, OH 43055 Phone: 740-344-2452 Fax: 740-344-7305 |