Kyung Soo Kim, MD in Warren, MI - Medicare Internal Medicine

Kyung Soo Kim, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Warren, Michigan. His current practice location is 14049 E 13 Mile Rd Ste 1, Warren, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 415-0103.

Kyung Soo Kim is licensed to practice in Michigan (license number 4301032265) 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 1558363119.

Contact Information

	Kyung Soo Kim, MD
	14049 E 13 Mile Rd Ste 1, Warren, MI 48088-5876
	(586) 415-0103
	(586) 415-0108

Map and Direction

Physician's Profile

Full Name	Kyung Soo Kim
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	14049 E 13 Mile Rd Ste 1, Warren, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558363119
Provider Enumeration Date: 08/12/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 4385540376
Enrollment ID: I20031210000663

Medical Identifiers

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

Identifier	Type	State	Issuer
1558363119	NPI	-	NPPES
060-507-4551	Other	MI	BLUECROSSBLUESHIELD
OH-26467002	Other	MI	MEDICARE ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	4301032265 (Michigan)	Primary
207UN0901X	Nuclear Medicine - Nuclear Cardiology	4301032265 (Michigan)	Secondary

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 Soo Kim allows following entities to bill medicare on his behalf.

Entity Name	Advanced Cardiovascular Associates, Plc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790914687 PECOS PAC ID: 8921146291 Enrollment ID: O20091105000583

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 Soo 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 Soo Kim, MD 49050 Schoenherr Rd Ste 100, Shelby Twp, MI 48315-3848 Ph: (586) 566-7870	Kyung Soo Kim, MD 14049 E 13 Mile Rd Ste 1, Warren, MI 48088-5876 Ph: (586) 415-0103

Reviews and Comments

Internal Medicine Doctors in Warren, MI

Rachel Marie Koch, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631
Jon Whitman Mackey, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631
Dr. Martin Irvin Schock, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 11885 E 12 Mile Rd, Suite 100a, Warren, MI 48093 Phone: 586-576-1615 Fax: 586-576-1628
Kinal Kim Patel, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631
Salim Meram, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 11900 E 12 Mile Rd, Suite 100, Warren, MI 48093 Phone: 586-573-5890 Fax: 586-573-5525
Larry B Tankanow, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 27472 Schoenherr Rd Ste 100, Warren, MI 48088 Phone: 586-751-8844 Fax: 586-751-8596
Leslie Adele Scott, D.O. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 11885 E 12 Mile Rd Ste 300a, Warren, MI 48093 Phone: 586-582-6630 Fax: 586-582-6631

Kyung Soo Kim, MD - Medicare Internal Medicine in Warren, MI