Jennifer Kim, MD - Medicare General Surgery in Shreveport, LA

Jennifer Kim, MD is a medicare enrolled "Surgery" physician in Shreveport, Louisiana. She went to University Of Oklahoma College Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Osf Multi-specialty Group and her current practice location is 1501 Kings Hwy, Surgery, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 675-2655.

Jennifer Kim is licensed to practice in Illinois (license number 036153868) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053798264.

Contact Information

Jennifer Kim, MD
1501 Kings Hwy, Surgery,
Shreveport, LA 71103-4228
(318) 675-2655
Not Available

Map and Direction




Physician's Profile

Full NameJennifer Kim
GenderFemale
SpecialityGeneral Surgery
Experience9 Years
Location1501 Kings Hwy, Shreveport, Louisiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Kim attended and graduated from University Of Oklahoma College Of Medicine in 2015
  NPI Data:
  • NPI Number: 1053798264
  • Provider Enumeration Date: 04/27/2015
  • Last Update Date: 09/09/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2860798915
  • Enrollment ID: I20200929000213

Medical Identifiers

Medical identifiers for Jennifer Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053798264NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 036153868 (Illinois)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterPeoria, ILHospital
St Joseph Medical CenterBloomington, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Osf Multi-specialty Group36788897891543

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. Jennifer Kim allows following entities to bill medicare on her behalf.
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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. Jennifer 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 AddressPractice Location Address
Jennifer Kim, MD
8600 N State Route 91,
Peoria, IL 61615-9541

Ph: (309) 691-4005
Jennifer Kim, MD
1501 Kings Hwy, Surgery,
Shreveport, LA 71103-4228

Ph: (318) 675-2655

Reviews and Comments


Surgery Doctors in Shreveport, LA

James R Barnes, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1455 E Bert Koun Loop, Suite #105, Shreveport, LA 71105
Phone: 318-798-4433    Fax: 318-798-4432
Mary T Kim, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1501 Kings Hwy, Shreveport, LA 71103
Phone: 318-675-6154    
Dr. Paul E Perkowski, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-626-0000    Fax: 318-629-4833
Dr. James Booth Burke, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1202 Louisiana Avenue, Shreveport, LA 71101
Phone: 318-212-8780    Fax: 318-212-6752
Dr. Terry Lairmore, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-626-0000    
Dr. Mark H Smith, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103
Phone: 318-212-4799    Fax: 318-424-3642

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.