| Edward Kim, MD | |
|
415 6th St, Lewiston, ID 83501-2431 | |
| (208) 750-7507 | |
| (208) 750-7384 |
| Full Name | Edward Kim |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 32 Years |
| Location | 415 6th St, Lewiston, Idaho |
| 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 |
|---|---|---|---|
| 1386752913 | NPI | - | NPPES |
| 1386752913 | Medicaid | ID | |
| BK 5346970 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 39929 (Washington) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | M-15510 (Idaho) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Tri-state Memorial Hospital | Clarkston, WA | Hospital |
| Syringa General Hospital | Grangeville, ID | Hospital |
| Clearwater Valley Hospital & Clinics | Orofino, ID | Hospital |
| Kootenai Health | Coeur d'alene, ID | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Joseph Hospital Llc | 8325325806 | 46 |
| Entity Name | St Joseph Hospital Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205368404 PECOS PAC ID: 8325325806 Enrollment ID: O20170606002496 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Kim, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 750-7507 | Edward Kim, MD 415 6th St, Lewiston, ID 83501-2431 Ph: (208) 750-7507 |
Robert Alan Wales, MD, FACC Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 2315 8th St Grade, Lewiston, ID 83501 Phone: 509-455-8820 Fax: 509-227-7070 | |
David B Souvenir, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7204 Fax: 208-746-0134 | |
Jane A Fore, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 415 Sixth St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Dr. Heather Fowler Cumbo, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7445 | |
Sushma Pant, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1250 Idaho Street, Lewiston, ID 83501 Phone: 208-743-7427 Fax: 208-743-7421 | |
Dr. Michael Rooney, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-743-2511 Fax: 208-799-5528 | |
Dr. William Westel Rowe, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 415 6th St, Lewiston, ID 83501 Phone: 208-750-7507 |