| Dr Sung Deuk Kim, MD | |
|
1200 E Pecan St, Altus, OK 73521-6192 | |
| (580) 379-5000 | |
| (580) 379-5999 |
| Full Name | Dr Sung Deuk Kim |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 12 Years |
| Location | 1200 E Pecan St, Altus, Oklahoma |
| 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 |
|---|---|---|---|
| 1003434101 | NPI | - | NPPES |
| 201183700A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 41286 (Oklahoma) | Primary |
| 207R00000X | Internal Medicine | 41286 (Oklahoma) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Angels Care Home Health Of Oklahoma | Oklahoma city, OK | Home health agency |
| Elara Caring Xxiv | Lawton, OK | Home health agency |
| Sunshine Home Care, Inc | Altus, OK | Home health agency |
| Jackson County Memorial Hospital Authority | Altus, OK | Hospital |
| Alliancehealth Woodward | Woodward, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jackson County Memorial Hospital Authority | 1759293178 | 44 |
| Integris Ambulatory Care Corporation | 2365408465 | 564 |
| Entity Name | Jackson County Memorial Hospital Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
| Entity Name | Integris Ambulatory Care Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750333936 PECOS PAC ID: 2365408465 Enrollment ID: O20041209000354 |
| Entity Name | Hmrok Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790472256 PECOS PAC ID: 7517329170 Enrollment ID: O20230814001881 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sung Deuk Kim, MD 1200 E Pecan St, Altus, OK 73521-6141 Ph: (580) 379-5000 | Dr Sung Deuk Kim, MD 1200 E Pecan St, Altus, OK 73521-6192 Ph: (580) 379-5000 |