Sam K Kim, MD in Fontana, CA - Medicare Interventional Radiology

Sam K Kim, MD is a medicare enrolled "Radiology - Vascular & Interventional Radiology" physician in Fontana, California. He went to Univ Of Illinois At Chicago College Of Dentistry and graduated in 2001 and has 23 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 9961 Sierra Ave, Fontana, California. You can reach out to his office (for appointments etc.) via phone at (909) 427-3910.

Sam K Kim is licensed to practice in California (license number A81401) 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 1184776569.

Contact Information

	Sam K Kim, MD
	9961 Sierra Ave, Fontana, CA 92335-6720
	(909) 427-3910
	Not Available

Map and Direction

Physician's Profile

Full Name	Sam K Kim
Gender	Male
Speciality	Interventional Radiology
Experience	23 Years
Location	9961 Sierra Ave, Fontana, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Sam K Kim attended and graduated from Univ Of Illinois At Chicago College Of Dentistry in 2001

NPI Data:

NPI Number: 1184776569
Provider Enumeration Date: 01/17/2007
Last Update Date: 11/29/2021

Medicare PECOS Information:

PECOS PAC ID: 5193822674
Enrollment ID: I20070517000250

Medical Identifiers

Medical identifiers for Sam K Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184776569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0204X	Radiology - Vascular & Interventional Radiology	A81401 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kaiser Foundation Hospital Fontana/ontario	Fontana, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Sam K Kim allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Sam K 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
Sam K Kim, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910	Sam K Kim, MD 9961 Sierra Ave, Fontana, CA 92335-6720 Ph: (909) 427-3910

Reviews and Comments

Radiology Doctors in Fontana, CA

Edmond Yang, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Monica Lau Leung, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
Dip S. Sidhu, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910
John D Tucker, Radiology Medicare: Medicare Enrolled Practice Location: 9985 Sierra Ave, Bldg. #3, Dept. Of Radiology, Fontana, CA 92335 Phone: 909-427-7649
Vicente Pierantoni, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 Fax: 626-405-6768
Jon Pin Lee, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Sam K Kim, MD - Medicare Interventional Radiology in Fontana, CA