| Michelle A Kim, MD | |
|
880 Alder Ave, Incline Village, NV 89451-8335 | |
| (775) 831-6200 | |
| Not Available |
| Full Name | Michelle A Kim |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 880 Alder Ave, Incline Village, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801982343 | NPI | - | NPPES |
| 00A811490 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A81149 (California) | Primary |
| Entity Name | Eastern Plumas Health Care District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245236850 PECOS PAC ID: 4587576889 Enrollment ID: O20050329001076 |
| Entity Name | Tahoe Forest Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle A Kim, MD 880 Alder Ave Fl 2, Incline Village, NV 89451-8335 Ph: (775) 831-6600 | Michelle A Kim, MD 880 Alder Ave, Incline Village, NV 89451-8335 Ph: (775) 831-6200 |
Dr. Johanna Koch, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 889 Alder Ave. #203, Incline Village, NV 89451 Phone: 775-832-5200 Fax: 775-832-5205 | |
Marshall W Clyde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 880 Alder Ave Fl 2, Incline Village, NV 89451 Phone: 775-831-6200 | |
Dr. Timothy Joseph Heilman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 995 Tahoe Blvd, Suite 301, Incline Village, NV 89451 Phone: 775-833-2929 Fax: 775-833-0277 | |
Peter A Hanson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 Tahoe Blvd, Suite 207, Incline Village, NV 89451 Phone: 775-833-2929 Fax: 775-833-0277 |