Mr Beomjune B Kim, DMD, MD, FACS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Newnan, Georgia. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 2004 and has 22 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice City Of Hope Medical Group Of Georgia Llc and his current practice location is
600 Celebrate Life Pkwy, Newnan, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 400-6000.
Mr Beomjune B Kim is licensed to practice in Georgia (license number 88953) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1598931735.
Physician's Profile
| Full Name | Mr Beomjune B Kim |
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| Gender | Male |
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| Speciality | Maxillofacial Surgery |
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| Experience | 22 Years |
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| Location | 600 Celebrate Life Pkwy, Newnan, Georgia |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Beomjune B Kim attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 2004
NPI Data:
- NPI Number: 1598931735
- Provider Enumeration Date: 05/07/2008
- Last Update Date: 08/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476781923
- Enrollment ID: I20210709002223
Medical Identifiers
Medical identifiers for Mr Beomjune B Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598931735 | NPI | - | NPPES |
| 88953 | Other | GA | GA MEDICAL LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 204E00000X | Oral & Maxillofacial Surgery | MD.205951 (Louisiana) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 34607 (Oklahoma) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 88953 (Georgia) | Primary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 34607 (Oklahoma) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 34607 (Oklahoma) | Secondary |
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | 88953 (Georgia) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| City Of Hope Medical Group Of Georgia Llc | 4880841212 | 137 |
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. Mr Beomjune B Kim allows following entities to bill medicare on his behalf.
| Entity Name | Au Medical Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841230620
PECOS PAC ID: 9931013513
Enrollment ID: O20040107000188 |
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| Entity Name | City of Hope Medical Group of Georgia LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1447520333
PECOS PAC ID: 4880841212
Enrollment ID: O20120820001117 |
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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. Mr Beomjune B 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 |
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Mr Beomjune B Kim, DMD, MD, FACS
600 Celebrate Life Pkwy,
Newnan, GA 30265-8001
Ph: (770) 400-6000 | Mr Beomjune B Kim, DMD, MD, FACS
600 Celebrate Life Pkwy,
Newnan, GA 30265-8001
Ph: (770) 400-6000 |
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