Kim D Thai, MD is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Baldwin Park, California. He went to University Of Southern California Keck School Of Medicine and graduated in 1991 and has 34 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Dieumy Michelle Thai M D Inc and his current practice location is
1011 Baldwin Park Blvd, Baldwin Park, California. You can reach out to his office (for appointments etc.) via phone at
(626) 851-1011.
Kim D Thai is licensed to practice in California (license number G75037) 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 1124199153.
Physician's Profile
| Full Name | Kim D Thai |
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| Gender | Male |
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| Speciality | Pain Management |
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| Experience | 34 Years |
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| Location | 1011 Baldwin Park Blvd, Baldwin Park, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kim D Thai attended and graduated from University Of Southern California Keck School Of Medicine in 1991
NPI Data:
- NPI Number: 1124199153
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 6305027053
- Enrollment ID: I20110301000243
Medical Identifiers
Medical identifiers for Kim D Thai such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1124199153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208VP0000X | Pain Medicine - Pain Medicine | G75037 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Dieumy Michelle Thai M D Inc | 8123216041 | 4 |
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. Kim D Thai allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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| Entity Name | Dieumy Michelle Thai M D Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073625232 PECOS PAC ID: 8123216041 Enrollment ID: O20101220000487 |
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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. Kim D Thai 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 |
Kim D Thai, MD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 | Kim D Thai, MD 1011 Baldwin Park Blvd, Baldwin Park, CA 91706-5806 Ph: (626) 851-1011 |
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