| Eric G Kim, DO | |
|
45 Groover Loop Ste 201, St Augustine, FL 32086-6586 | |
| (904) 634-0640 | |
| (904) 634-0203 |
| Full Name | Eric G Kim |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 13 Years |
| Location | 45 Groover Loop Ste 201, St Augustine, Florida |
| 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 |
|---|---|---|---|
| 1124463088 | NPI | - | NPPES |
| 108757500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | OTO15084 (Pennsylvania) | Secondary |
| 207X00000X | Orthopaedic Surgery | OS15986 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Florida First Care Inc | Orange park, FL | Home health agency |
| Flagler Hospital | Saint augustine, FL | Hospital |
| Ascension St Vincent's Southside | Jacksonville, FL | Hospital |
| Ascension St Vincent's Riverside | Jacksonville, FL | Hospital |
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeast Orthopedic Specialists Llc | 1456246974 | 134 |
| Entity Name | Southeast Orthopedic Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629025820 PECOS PAC ID: 1456246974 Enrollment ID: O20040216000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric G Kim, DO 6800 Southpoint Pkwy Ste 300, Jacksonville, FL 32216-8203 Ph: (904) 634-0640 | Eric G Kim, DO 45 Groover Loop Ste 201, St Augustine, FL 32086-6586 Ph: (904) 634-0640 |
Dr. Kurtis R Hort, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 45 Groover Loop Ste 201, St Augustine, FL 32086 Phone: 904-634-0640 Fax: 904-634-0203 | |
Dr. Tod Northrup, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 475 W Town Pl Ste 106, St Augustine, FL 32092 Phone: 904-466-1197 Fax: 904-823-8967 | |
Dr. Joseph Mark Graham, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 120 Health Park Blvd, St Augustine, FL 32086 Phone: 888-481-2135 Fax: 386-627-7319 | |
Alexander Jeffrey Lampley, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 1690 Us Highway 1 S Ste F-1, St Augustine, FL 32084 Phone: 904-634-0640 Fax: 904-634-0203 | |
Dr. Paul Sebastian Roettges, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 45 Groover Loop Ste 201, St Augustine, FL 32086 Phone: 904-634-0640 Fax: 904-634-0203 | |
Jennifer L Madden, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 45 Groover Loop Ste 201, St Augustine, FL 32086 Phone: 904-634-0640 Fax: 904-634-0203 |