Dr Susie C Kim, MD in Durango, CO - Medicare Internal Medicine

Dr Susie C Kim, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Durango, Colorado. Her current practice location is 1 Mercado St, Ste 130, Durango, Colorado. You can reach out to her office (for appointments etc.) via phone at (970) 247-1120.

Dr Susie C Kim is licensed to practice in Colorado (license number 41867) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548258379.

Contact Information

	Dr Susie C Kim, MD
	1 Mercado St, Ste 130, Durango, CO 81301-7306
	(970) 247-1120
	(970) 247-1128

Map and Direction

Physician's Profile

Full Name	Dr Susie C Kim
Gender	Female
Speciality	Internal Medicine - Cardiovascular Disease
Location	1 Mercado St, Durango, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548258379
Provider Enumeration Date: 10/06/2005
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 5496749699
Enrollment ID: I20040413000837

Medical Identifiers

Medical identifiers for Dr Susie C Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548258379	NPI	-	NPPES
1982948089	Medicaid	NE
10026280800	Medicaid	NE
10026280600	Medicaid	NE
10026281000	Medicaid	NE
201038550A	Medicaid	KS
57723834	Medicaid	CO
10026280700	Medicaid	NE
10026281200	Medicaid	NE
10026283100	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	41867 (Colorado)	Secondary
207RC0000X	Internal Medicine - Cardiovascular Disease	41867 (Colorado)	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 Susie C Kim allows following entities to bill medicare on her behalf.

Entity Name	Catholic Health Initiatives Colorado
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462

Entity Name	Swedish Porter Ekg Interpretation Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1689632176 PECOS PAC ID: 8921084161 Enrollment ID: O20040628000886

Entity Name	Portercare Adventist Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760761928 PECOS PAC ID: 0941110886 Enrollment ID: O20090115000327

Entity Name	South Denver Castle Rock Ekg Interpretation Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659711745 PECOS PAC ID: 6305078882 Enrollment ID: O20140416000114

Entity Name	South Denver Parker Ekg Interpretation Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114367208 PECOS PAC ID: 1456575570 Enrollment ID: O20140617000989

Entity Name	Portercare Adventist Health System
Entity Type	Part B Supplier - Intensive Cardiac Rehabilitation
Entity Identifiers	NPI Number: 1750832382 PECOS PAC ID: 0941110886 Enrollment ID: O20161117001747

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 Susie C 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 Susie C Kim, MD 1 Mercado St, Ste 130, Durango, CO 81301-7306 Ph: (970) 247-1120	Dr Susie C Kim, MD 1 Mercado St, Ste 130, Durango, CO 81301-7306 Ph: (970) 247-1120

Reviews and Comments

Internal Medicine Doctors in Durango, CO

Richard A Brown, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1010 Three Springs Blvd, Ste 110, Durango, CO 81301 Phone: 970-764-2750 Fax: 970-764-2778
Dr. Richard L Converse Jr., MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado St Ste 130, Durango, CO 81301 Phone: 970-247-1120 Fax: 970-247-1128
Mr. Stuart Saslow, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1305 Escalante Dr Suite 204, Durango, CO 81303 Phone: 970-385-4022 Fax: 970-385-4337
Dr. Erin Gray Clarkinson, DO Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1199 Main Ave Ste 206, Durango, CO 81301 Phone: 970-422-8147
Lyla Saeed, Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1010 Three Springs Blvd Ste 270, Durango, CO 81301 Phone: 970-764-3800 Fax: 970-764-3840
Dr. Eugenia M Miller, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1 Mercado Street, Suite 130, Durango, CO 81301 Phone: 970-247-1120 Fax: 970-247-3664
Sarah E. Brown, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd, Durango, CO 81301 Phone: 970-764-3352 Fax: 970-764-3375

Dr Susie C Kim, MD - Medicare Internal Medicine in Durango, CO