Ki Wan Kim, MD - Medicare Thoracic Surgery in Marietta, GA

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Ki Wan Kim, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Marietta, Georgia. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Wellstar Medical Group, Llc and his current practice location is 61 Whitcher St Ne Ste 4120, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 424-9732.

Ki Wan Kim is licensed to practice in Georgia (license number 82757) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1356490734.

Contact Information

Ki Wan Kim, MD
61 Whitcher St Ne Ste 4120,
Marietta, GA 30060
(770) 424-9732
Not Available

Map and Direction




Physician's Profile

Full NameKi Wan Kim
GenderMale
SpecialityThoracic Surgery
Experience21 Years
Location61 Whitcher St Ne Ste 4120, Marietta, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ki Wan Kim graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1356490734
  • Provider Enumeration Date: 01/09/2007
  • Last Update Date: 10/16/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5193993145
  • Enrollment ID: I20190624003454

Medical Identifiers

Medical identifiers for Ki Wan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356490734NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery A90695 (California)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 036127784 (Illinois)Secondary
208G00000XThoracic Surgery (cardiothoracic Vascular Surgery) 82757 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar Kennestone HospitalMarietta, GAHospital
Wellstar Cobb HospitalAustell, GAHospital
Wellstar Douglas HospitalDouglasville, GAHospital
Wellstar Paulding HospitalHiram, GAHospital
Wellstar Spalding Regional HospitalGriffin, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wellstar Medical Group, Llc67090654021839

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. Ki Wan Kim allows following entities to bill medicare on his behalf.
Entity NameWellstar Medical Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558664003
PECOS PAC ID: 6709065402
Enrollment ID: O20110127000374

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. Ki Wan 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
Ki Wan Kim, MD
61 Whitcher St Ne Ste 4120,
Marietta, GA 30060-1179

Ph: (770) 424-9732		Ki Wan Kim, MD
61 Whitcher St Ne Ste 4120,
Marietta, GA 30060

Ph: (770) 424-9732

Reviews and Comments


Thoracic Surgery (Cardiothoracic Vascular Surgery) Doctors in Marietta, GA

Daniel Fortes, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 61 Whitcher St Ne Ste 4120, Marietta, GA 30060
Phone: 770-424-9732    Fax: 770-421-0228
Dr. Ernest Louis Itkin, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Not Enrolled in Medicare
Practice Location: 61 Whitcher St Ne, Suite 4120, Marietta, GA 30060
Phone: 770-424-9732    Fax: 770-421-0228
Dr. William Rodger Mayfield, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Medicare Enrolled
Practice Location: 61whitcher St Ne, Suite 4120, Marietta, GA 30060
Phone: 770-424-9732    Fax: 770-421-0228
Dr. Daniel L Miller, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 61 Whitcher St Ne, Suite 4120, Marietta, GA 30060
Phone: 770-424-9732    Fax: 770-421-0228
Dr. Theresa D. Luu, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 61 Whitcher St Ne, Suite 4120, Marietta, GA 30060
Phone: 770-424-9732    Fax: 770-424-9732
Dr. Vinod H Thourani, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 55 Whitcher St Ne, Suite 270, Marietta, GA 30060
Phone: 678-331-6955    Fax: 770-428-7040
Dr. Richard J. Myung, M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Medicare: Accepting Medicare Assignments
Practice Location: 61 Whitcher St Ne, Suite 4100, Marietta, GA 30060
Phone: 770-590-4180    Fax: 770-590-4186

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.