| Jimmy Lee Kim, MD | |
|
5900 S Lake Dr, Cudahy, WI 53110-3171 | |
| (414) 489-4190 | |
| Not Available |
| Full Name | Jimmy Lee Kim |
|---|---|
| Gender | Male |
| Speciality | Gastroenterology |
| Experience | 23 Years |
| Location | 5900 S Lake Dr, Cudahy, Wisconsin |
| 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 |
|---|---|---|---|
| 1861587263 | NPI | - | NPPES |
| 35296800 | Medicaid | WI | |
| P00700734 | Other | WI | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 51366-20 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora St Lukes Medical Center | Milwaukee, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Advanced Healthcare, Inc. | 3375625833 | 1012 |
| Entity Name | Lakeshore Medical Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481 |
| Entity Name | Aurora Advanced Healthcare, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
| Mailing Address | Practice Location Address |
|---|---|
| Jimmy Lee Kim, MD Po Box 735044, Chicago, IL 60673-5044 Ph: () - | Jimmy Lee Kim, MD 5900 S Lake Dr, Cudahy, WI 53110-3171 Ph: (414) 489-4190 |
Asam Khan, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-689-9000 | |
Dr. Mathew George Mathai, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5900 S. Lake Dr., Cudahy, WI 53110 Phone: 414-744-4000 Fax: 414-489-4022 | |
Dr. Arturo Eduardo Eyzaguirre, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-744-4000 Fax: 414-489-4022 | |
Anna M Lamnari, MD Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 3533 E Ramsey Avenue, Cudahy, WI 53110 Phone: 414-769-6600 Fax: 414-486-2297 | |
Dr. Paul Aldo Lisi, D.O. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-744-4000 Fax: 414-489-4022 | |
Dr. Jared A Ludlow, MD Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-489-9000 | |
Florin Stuleanu, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 5900 S Lake Dr, Cudahy, WI 53110 Phone: 414-744-4000 Fax: 414-489-4022 |