| Paul Kim, | |
|
9330 State Road 54, Trinity, FL 34655-1808 | |
| (727) 834-4832 | |
| (727) 816-2463 |
| Full Name | Paul Kim |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 6 Years |
| Location | 9330 State Road 54, Trinity, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770112898 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 0102209156 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical College Of Virginia Hospitals | Richmond, VA | Hospital |
| Vcu Health Tappahannock Hospital | Tappahannock, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcv Associated Physicians | 4385542117 | 1779 |
| Entity Name | Mcv Associated Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710959457 PECOS PAC ID: 4385542117 Enrollment ID: O20031230000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Paul Kim, 9330 State Road 54, Trinity, FL 34655-1808 Ph: (727) 834-4832 | Paul Kim, 9330 State Road 54, Trinity, FL 34655-1808 Ph: (727) 834-4832 |
Dr. Brittany Kennedy, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 9330 Fl 54, Trinity, FL 34655 Phone: 727-834-4000 |
Dr. Tyler Austin Fontaine, DO Radiology Medicare: Medicare Enrolled Practice Location: 9330 Sr-54, Trinity, FL 34655 Phone: 727-834-4830 |
Bradford Alan Perez, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9320 State Road 54, Trinity, FL 34655 Phone: 727-842-8411 Fax: 877-917-2336 |
Dr. Arthur J Matzkowitz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 9320 State Road 54, Trinity, FL 34655 Phone: 727-493-2513 Fax: 877-917-2336 |
William R Kelley Jr., MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9330 State Road 54, Trinity, FL 34655 Phone: 904-399-5800 |
Robin Frake, DO Radiology Medicare: Not Enrolled in Medicare Practice Location: 9330 Fl-54, Trinity, FL 34655 Phone: 727-834-4000 |