Kisung Kim, BM in Red Bluff, CA - Medicare Pediatrics

Kisung Kim, BM is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Red Bluff, California. His current practice location is 2450 Sister Mary Columba Dr, Red Bluff, California. You can reach out to his office (for appointments etc.) via phone at (530) 527-0414.

Kisung Kim is licensed to practice in California (license number A141207) 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 1073939815.

Contact Information

	Kisung Kim, BM
	2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356
	(530) 527-0414
	(530) 527-3720

Map and Direction

Physician's Profile

Full Name	Kisung Kim
Gender	Male
Speciality	Pediatrics - Adolescent Medicine
Location	2450 Sister Mary Columba Dr, Red Bluff, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073939815
Provider Enumeration Date: 03/17/2014
Last Update Date: 04/03/2019

Medicare PECOS Information:

PECOS PAC ID: 9931487402
Enrollment ID: I20191226000630

Medical Identifiers

Medical identifiers for Kisung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073939815	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080A0000X	Pediatrics - Adolescent Medicine	A141207 (California)	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. Kisung 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
Kisung Kim, BM 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: () -	Kisung Kim, BM 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 Ph: (530) 527-0414

Reviews and Comments

Pediatrics Doctors in Red Bluff, CA

Kimberli Frantz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414
Dr. Danielle Dionne Dixon, D.O., M.P.H. Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414
Dr. Lena Renee Schultz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-528-4423
Maria Nelisa N Tan, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-528-4423
Annette Ndagano, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414 Fax: 530-528-4423
Lea Manlapaz-villavicencio, Pediatrics Medicare: Medicare Enrolled Practice Location: 2450 Sister Mary Columba Dr, Red Bluff, CA 96080 Phone: 530-527-0414

Kisung Kim, BM - Medicare Pediatrics in Red Bluff, CA