Jae Yong Kim, MD in Dearborn, MI - Medicare Ophthalmology

Jae Yong Kim, MD is a medicare enrolled "Ophthalmology" physician in Dearborn, Michigan. His current practice location is 1922 Monroe St, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 274-7540.

Jae Yong Kim is licensed to practice in Michigan (license number 4301507485) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497287635.

Contact Information

	Jae Yong Kim, MD
	1922 Monroe St, Dearborn, MI 48124-2917
	(313) 274-7540
	Not Available

Map and Direction

Physician's Profile

Full Name	Jae Yong Kim
Gender	Male
Speciality	Ophthalmology
Location	1922 Monroe St, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497287635
Provider Enumeration Date: 03/28/2017
Last Update Date: 02/12/2024

Medicare PECOS Information:

PECOS PAC ID: 6507265642
Enrollment ID: I20220727000371

Medical Identifiers

Medical identifiers for Jae Yong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497287635	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	A171816 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207W00000X	Ophthalmology	4301507485 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jae Yong Kim allows following entities to bill medicare on his behalf.

Entity Name	Blue Sky Vision Eye Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801977202 PECOS PAC ID: 8820065618 Enrollment ID: O20050225000498

Entity Name	University Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447299797 PECOS PAC ID: 8628087681 Enrollment ID: O20060419000518

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. Jae Yong Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jae Yong Kim, MD 1922 Monroe St, Dearborn, MI 48124-2917 Ph: () -	Jae Yong Kim, MD 1922 Monroe St, Dearborn, MI 48124-2917 Ph: (313) 274-7540

Reviews and Comments

Ophthalmology Doctors in Dearborn, MI

Stanley Chase Grandon, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 15212 Michigan Ave, Dearborn, MI 48126 Phone: 313-582-8856 Fax: 313-582-8265
Dr. Kyle Welburn, DO Ophthalmology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000
Dr. Asheesh Tewari, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 25230 Michigan Ave, Dearborn, MI 48124 Phone: 134-412-2273 Fax: 313-441-2241
Donald C Fiander, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 25325 Ford Rd, Suite 200, Dearborn, MI 48128 Phone: 313-357-3006 Fax: 313-724-2455
Inna Bondira, DO Ophthalmology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000
John Denis Roarty, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 22731 Newman, Suite 245, Dearborn, MI 48124 Phone: 313-561-1777 Fax: 313-561-8044
James Matthew Todaro, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124 Phone: 313-593-7000

Jae Yong Kim, MD - Medicare Ophthalmology in Dearborn, MI