Kyung In Kim, MD in Johnson City, NY - Medicare Orthopaedic Surgery

Kyung In Kim, MD is a medicare enrolled "Orthopaedic Surgery" physician in Johnson City, New York. His current practice location is 240 Riverside Dr, Johnson City, New York. You can reach out to his office (for appointments etc.) via phone at (607) 798-9356.

Kyung In Kim is licensed to practice in New York (license number A131465-1) 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 1114941531.

Contact Information

	Kyung In Kim, MD
	240 Riverside Dr, Johnson City, NY 13790-2732
	(607) 798-9356
	(607) 797-1707

Map and Direction

Physician's Profile

Full Name	Kyung In Kim
Gender	Male
Speciality	Orthopaedic Surgery
Location	240 Riverside Dr, Johnson City, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114941531
Provider Enumeration Date: 07/27/2006
Last Update Date: 03/23/2021

Medicare PECOS Information:

PECOS PAC ID: 6800852161
Enrollment ID: I20091207000397

Medical Identifiers

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

Identifier	Type	State	Issuer
1114941531	NPI	-	NPPES
00482375	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207X00000X	Orthopaedic Surgery	A131465-1 (New York)	Primary

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. Kyung In Kim allows following entities to bill medicare on his behalf.

Entity Name	Our Lady Of Lourdes Memorial Hospital Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629087580 PECOS PAC ID: 1254237779 Enrollment ID: O20031208000366

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. Kyung In 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
Kyung In Kim, MD 240 Riverside Dr, Johnson City, NY 13790-2732 Ph: (607) 798-9356	Kyung In Kim, MD 240 Riverside Dr, Johnson City, NY 13790-2732 Ph: (607) 798-9356

Reviews and Comments

Orthopaedic Surgery Doctors in Johnson City, NY

Stephen G Federowicz, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707
Mark Vincent Wilson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707
Thomas R Van-gorder, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707
Orest Myroslav Wasyliw, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 441 Riverside Drive, Johnson City, NY 13790 Phone: 607-729-2474 Fax: 607-770-9271
John Brosnan, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 240 Riverside Dr, Johnson City, NY 13790 Phone: 607-798-9356 Fax: 607-797-1707
Dr. Matthew Thomas Bennett, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 52 Harrison St, 2nd Fl, Johnson City, NY 13790 Phone: 607-748-7468 Fax: 607-754-6130

Kyung In Kim, MD - Medicare Orthopaedic Surgery in Johnson City, NY