Dr Suk Ki Kim, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Owensboro, Kentucky. He graduated from medical school in 1967 and has 57 years of diverse experience with area of expertise as Interventional Pain Management. He is a member of the group practice Kentucky Orthopedic Rehabilitation Llc, Pain Management Centers Of America Psc and his current practice location is
3332 Villa Pt, Ste 104, Owensboro, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 684-5679.
Dr Suk Ki Kim is licensed to practice in Kentucky (license number 17728) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477557270.
Physician's Profile
| Full Name | Dr Suk Ki Kim |
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| Gender | Male |
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| Speciality | Interventional Pain Management |
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| Experience | 57 Years |
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| Location | 3332 Villa Pt, Owensboro, Kentucky |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Suk Ki Kim graduated from medical school in 1967
NPI Data:
- NPI Number: 1477557270
- Provider Enumeration Date: 06/09/2005
- Last Update Date: 01/29/2013
Medicare PECOS Information:
- PECOS PAC ID: 4587655675
- Enrollment ID: I20040520000006
Medical Identifiers
Medical identifiers for Dr Suk Ki Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477557270 | NPI | - | NPPES |
| 100001550A | Medicaid | IN | |
| 64177280 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 17728 (Kentucky) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kentucky Orthopedic Rehabilitation Llc | 0345157293 | 683 |
| Pain Management Centers Of America Psc | 2769727114 | 27 |
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 Suk Ki Kim allows following entities to bill medicare on his behalf.
| Entity Name | Pain Management Centers Of America Psc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992271811
PECOS PAC ID: 2769727114
Enrollment ID: O20190205002506 |
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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 Suk Ki 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 |
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Dr Suk Ki Kim, MD
3332 Villa Pt, Ste 104,
Owensboro, KY 42303-7818
Ph: (270) 684-5679 | Dr Suk Ki Kim, MD
3332 Villa Pt, Ste 104,
Owensboro, KY 42303-7818
Ph: (270) 684-5679 |
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