| Kyu Kim Jana, MD | |
|
301 University Blvd, Galveston, TX 77555-1250 | |
| (409) 744-4030 | |
| (409) 740-4187 |
| Full Name | Kyu Kim Jana |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 301 University Blvd, Galveston, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285686154 | NPI | - | NPPES |
| 00026166201 | Other | NY | UNIVERA # |
| 040426003337 | Other | NY | FIDELIS CARE # |
| 5996171 | Other | NY | GHI PPO # |
| P00189134 | Other | NY | MEDICARE RAILROAD # |
| 0492681 | Other | NY | IHA # |
| 159651BF | Other | NY | PREFERRED CARE # |
| 000527217002 | Other | NY | HEALTH NOW BCBS # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 227412 (New York) | Secondary |
| 207QG0300X | Family Medicine - Geriatric Medicine | ME99852 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Texas Medical Branch Galveston | Galveston, TX | Hospital |
| Bayou Pines Care Center | La marque, TX | Nursing home |
| The Meridian | Galveston, TX | Nursing home |
| Gulf Health Care Center In Galveston | Galveston, TX | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Utmb Faculty Group Practice | 3375456734 | 948 |
| Entity Name | Utmb Faculty Group Practice |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942241146 PECOS PAC ID: 3375456734 Enrollment ID: O20031112000438 |
| Mailing Address | Practice Location Address |
|---|---|
| Kyu Kim Jana, MD 301 University Blvd, Galveston, TX 77555-1250 Ph: (409) 744-4030 | Kyu Kim Jana, MD 301 University Blvd, Galveston, TX 77555-1250 Ph: (409) 744-4030 |
Angela J Shepherd, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-744-4030 Fax: 409-740-4187 | |
Mashhoor Beragdar, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Department Of Geriatric Medicine, Mail Route 0177, Galveston, TX 77555 Phone: 409-266-9634 Fax: 409-747-3585 | |
Dr. Eladio Camarillo Jr., MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2166 Fax: 409-772-2663 | |
Victor S Sierpina, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-744-4030 Fax: 409-740-4187 | |
Andrew Janicki, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 409-772-2166 Fax: 409-772-2663 | |
Eguono Ejayeriese, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 400 Harborside Dr, Galveston, TX 77550 Phone: 409-772-2166 | |
Jennifer R Raley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 University Blvd, Galveston, TX 77555 Phone: 281-614-1256 Fax: 281-614-1587 |