Moses Kim, MD is a medicare enrolled "General Practice" physician in Moline, Illinois. His current practice location is
555 Valley View Dr, Moline, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 764-9675.
Moses Kim is licensed to practice in Illinois (license number 036128765) 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 1245496496.
Physician's Profile
| Full Name | Moses Kim |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 555 Valley View Dr, Moline, Illinois |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1245496496
- Provider Enumeration Date: 08/06/2008
- Last Update Date: 11/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284942905
- Enrollment ID: I20170919002415
Medical Identifiers
Medical identifiers for Moses Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245496496 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0129X | Surgery - Vascular Surgery | TP786 (Kentucky) | Secondary |
| 208D00000X | General Practice | MD-44392 (Iowa) | Secondary |
| 208D00000X | General Practice | 036128765 (Illinois) | 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. Moses Kim allows following entities to bill medicare on his behalf.
| Entity Name | American Current Care Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326222191 PECOS PAC ID: 9739260019 Enrollment ID: O20100123000081 |
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| Entity Name | Vohra Wound Physicians Of The West Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205176096 PECOS PAC ID: 5890931331 Enrollment ID: O20201230000094 |
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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. Moses 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 |
Moses Kim, MD 555 Valley View Dr, Moline, IL 61265-6138 Ph: (309) 764-9675 | Moses Kim, MD 555 Valley View Dr, Moline, IL 61265-6138 Ph: (309) 764-9675 |
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