Jin Ha Kim, MD - Medicare Internal Medicine in Rice Lake, WI

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Jin Ha Kim, MD is a medicare enrolled "Internal Medicine" physician in Rice Lake, Wisconsin. His current practice location is 1700 W Stout St, Rice Lake, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 236-8100.

Jin Ha Kim is licensed to practice in Wisconsin (license number 55369) 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 1215174859.

Contact Information

Jin Ha Kim, MD
1700 W Stout St,
Rice Lake, WI 54868-5000
(715) 236-8100
Not Available

Map and Direction




Physician's Profile

Full NameJin Ha Kim
GenderMale
SpecialityInternal Medicine
Location1700 W Stout St, Rice Lake, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215174859
  • Provider Enumeration Date: 01/20/2009
  • Last Update Date: 07/06/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5395923908
  • Enrollment ID: I20110630000453

Medical Identifiers

Medical identifiers for Jin Ha Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215174859NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 55369 (Wisconsin)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. Jin Ha Kim allows following entities to bill medicare on his behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426
Entity NameMemorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20110526000807
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096

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. Jin Ha 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
Jin Ha Kim, MD
1000 N Oak Ave,
Marshfield, WI 54449-5703

Ph: (715) 387-5511		Jin Ha Kim, MD
1700 W Stout St,
Rice Lake, WI 54868-5000

Ph: (715) 236-8100

Reviews and Comments


Internal Medicine Doctors in Rice Lake, WI

Dr. Jemstone Wesley Bathe, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8164    Fax: 715-236-8322
Vidya Sagar Reddy Cirra, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8100    
William Scott Carpenter, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1020 Lakeshore Dr, Rice Lake, WI 54868
Phone: 715-236-8100    
Sharath Kommu, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8100    
Michael F. Husak, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 W. Stout St., Rice Lake, WI 54868
Phone: 715-236-8100    
Neelakantan Namboodiri, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1700 W Stout St, Rice Lake, WI 54868
Phone: 715-236-8100    

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.