| Mary M Kim, MD | |
|
1624 Mars Hill Rd, Suite B, Watkinsville, GA 30677-4813 | |
| (706) 310-1030 | |
| (706) 705-1444 |
| Full Name | Mary M Kim |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 27 Years |
| Location | 1624 Mars Hill Rd, Watkinsville, Georgia |
| 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 |
|---|---|---|---|
| 1902880123 | NPI | - | NPPES |
| 00904142A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 050031 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Mary's Hospital | Athens, GA | Hospital |
| Piedmont Athens Regional Medical Center | Athens, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Oconee Primary Care, L.l.c. | 4981749470 | 2 |
| Entity Name | Oconee Primary Care, L.l.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275860900 PECOS PAC ID: 4981749470 Enrollment ID: O20100309000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M Kim, MD 1624 Mars Hill Rd, Suite B, Watkinsville, GA 30677-4813 Ph: (706) 310-1030 | Mary M Kim, MD 1624 Mars Hill Rd, Suite B, Watkinsville, GA 30677-4813 Ph: (706) 310-1030 |
Dr. Akhila Madala, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 Fax: 706-552-1801 | |
Julio Ernesto Pena, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1360 Caduceus Way, Bldg 400, Suite 104, Watkinsville, GA 30677 Phone: 706-850-8135 Fax: 706-548-9101 | |
Dr. Fareha Rahim, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 | |
Halee Wright Griffith, NP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1360 Caduceus Way, Watkinsville, GA 30677 Phone: 706-850-8135 | |
Mrs. Leah Marie Jobson, PA-C Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1624 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-310-1030 | |
Dr. Ken H. Park, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1624 Mars Hill Rd Ste B, Watkinsville, GA 30677 Phone: 706-310-1030 | |
Dr. Alvin Fred Young, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1305 Jennings Mill Rd Ste 220, Watkinsville, GA 30677 Phone: 706-552-1800 |