Heesun Nina Kim, MD is a
Radiology - Diagnostic Radiology physician based in Bridgeville, Pennsylvania. Heesun Nina Kim is licensed to practice in Pennsylvania (license number MD423883) and her current practice location is 705 Augusta Dr, Bridgeville, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(952) 595-1100.
NPI number for Heesun Nina Kim is 1902965452 and her current mailing address is 11995 Singletree Ln, Ste 500, Eden Prairie, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902965452.
Physician's Profile
| Full Name | Heesun Nina Kim |
|---|
| Gender | Female |
|---|
| Speciality | Radiology - Diagnostic Radiology |
|---|
| Location | 705 Augusta Dr, Bridgeville, Pennsylvania |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902965452
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 11/03/2015
Medical Identifiers
Medical identifiers for Heesun Nina Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1902965452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085B0100X | Radiology - Body Imaging | MD423883 (Pennsylvania) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | MD423883 (Pennsylvania) | Primary |
| 2085U0001X | Radiology - Diagnostic Ultrasound | MD423883 (Pennsylvania) | Secondary |
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. Heesun Nina Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Heesun Nina Kim, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Heesun Nina Kim, MD 705 Augusta Dr, Bridgeville, PA 15017-3437 Ph: (952) 595-1100 |
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