John Kim, DO is a medicare enrolled "Hospitalist" physician in Nellis Afb, Nevada. His current practice location is
4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 652-2750.
John Kim is licensed to practice in Virginia (license number 0102205486) 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 1104209550.
Physician's Profile
Full Name | John Kim |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104209550
- Provider Enumeration Date: 07/02/2015
- Last Update Date: 03/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830435593
- Enrollment ID: I20190116004085
Medical Identifiers
Medical identifiers for John Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104209550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | DO3595 (Nevada) | Secondary |
207R00000X | Internal Medicine | 0102205486 (Virginia) | Secondary |
208M00000X | Hospitalist | DO3595 (Nevada) | Secondary |
208M00000X | Hospitalist | 0102205486 (Virginia) | Primary |
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. John 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 |
John Kim, DO 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273 | John Kim, DO 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 652-2750 |
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