| Jacob J Kim, MD | |
|
41 Mall Rd, Burlington, MA 01805-0001 | |
| (781) 744-5100 | |
| Not Available |
| Full Name | Jacob J Kim |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 29 Years |
| Location | 41 Mall Rd, Burlington, Massachusetts |
| 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 |
|---|---|---|---|
| 1710993324 | NPI | - | NPPES |
| 110005141A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 160804 (Massachusetts) | Secondary |
| 207P00000X | Emergency Medicine | 98263 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Gwinnett | Lawrenceville, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gwinnett Emergency Specialists Observation Services Llc | 7618140955 | 39 |
| Entity Name | Peachtree Immediate Care Fp, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
| Entity Name | Gwinnett Emergency Specialists Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437346467 PECOS PAC ID: 0840373619 Enrollment ID: O20080218000080 |
| Entity Name | Gwinnett Emergency Specialists Observation Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720373129 PECOS PAC ID: 7618140955 Enrollment ID: O20111101000364 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob J Kim, MD 41 Mall Rd, Burlington, MA 01805-0001 Ph: (781) 744-5100 | Jacob J Kim, MD 41 Mall Rd, Burlington, MA 01805-0001 Ph: (781) 744-5100 |
Dr. Thomas M Brand, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-8000 Fax: 781-744-5659 | |
Kevan John Mamdouhi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Mr. Paul Dennis Jondro, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Lahey Clinic, Burlington, MA 01805 Phone: 781-744-8100 | |
Soumya Ganapathy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
Malcolm A Creighton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805 Phone: 781-744-5100 Fax: 781-744-5659 | |
Shailendra Kumar Singh, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 | |
James J D'urso, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 41 Mall Rd, Burlington, MA 01805 Phone: 781-744-8000 Fax: 978-538-4707 |