| Hack Jae Kim, MD | |
|
2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 | |
| (480) 507-5678 | |
| (480) 507-5677 |
| Full Name | Hack Jae Kim |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 28 Years |
| Location | 2680 S Val Vista Dr Ste 116, Gilbert, Arizona |
| 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 |
|---|---|---|---|
| 1588647044 | NPI | - | NPPES |
| 865123 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 32877 (Arizona) | Primary |
| 207RI0008X | Internal Medicine - Hepatology | 32877 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Desert Medical Center | Mesa, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vhs Outpatient Clinics Inc | 4486566726 | 171 |
| Banner Physician Specialists Arizona Llc | 6204002272 | 234 |
| Entity Name | Vhs Outpatient Clinics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912979964 PECOS PAC ID: 4486566726 Enrollment ID: O20031104000523 |
| Entity Name | Banner Physician Specialists Arizona Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316228802 PECOS PAC ID: 6204002272 Enrollment ID: O20111222000509 |
| Entity Name | Arizona Centers For Digestive Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568975316 PECOS PAC ID: 5193083087 Enrollment ID: O20171226000651 |
| Mailing Address | Practice Location Address |
|---|---|
| Hack Jae Kim, MD 3707 N 7th St Ste 200, Phoenix, AZ 85014-5095 Ph: (480) 507-5678 | Hack Jae Kim, MD 2680 S Val Vista Dr Ste 116, Gilbert, AZ 85295-2154 Ph: (480) 507-5678 |
Hadil Owaynat, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 155 E Warner Rd, Gilbert, AZ 85296 Phone: 480-649-6600 Fax: 480-649-6700 | |
Sandhyaben P Patel, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 1900 N Higley Rd, Gilbert, AZ 85234 Phone: 480-543-2134 Fax: 480-512-6089 | |
Soyoung Park, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Dr. Shivakumar Vignesh, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 2946 E Banner Gateway Dr., Suite 400, Gilbert, AZ 85234 Phone: 480-256-3332 Fax: 813-449-8028 | |
Dr. Noreen Catherine Ruane, D.O. Gastroenterology Medicare: Medicare Enrolled Practice Location: 3555 S Val Vista Dr, Gilbert, AZ 85297 Phone: 602-933-0777 Fax: 602-933-0755 | |
Dr. Ala Eddin Samir Sagar, M.D. Gastroenterology Medicare: Medicare Enrolled Practice Location: 2940 E Banner Gateway Drive, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3682 | |
Theresa Ong Liu Dumlao, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 2946 E Banner Gateway Dr, Suite 450, Gilbert, AZ 85234 Phone: 480-256-6444 Fax: 480-256-3359 |