| Samuel W Kim, MD | |
|
1 Columbia St, Dra Imaging, Pc, Poughkeepsie, NY 12601-3923 | |
| (845) 454-4700 | |
| Not Available |
| Full Name | Samuel W Kim |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 24 Years |
| Location | 1 Columbia St, Poughkeepsie, New York |
| 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 |
|---|---|---|---|
| 1265520779 | NPI | - | NPPES |
| 02802124 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | 231881 (New York) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 231881 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Long Island Jewish Medical Center | New hyde park, NY | Hospital |
| North Shore University Hospital | Manhasset, NY | Hospital |
| John T Mather Memorial Hospital Of Port Jefferson | Port jefferson, NY | Hospital |
| Plainview Hospital | Plainview, NY | Hospital |
| Ns/lij Hs Huntington Hospital | Huntington, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Shore-lij Medical Pc | 3375701568 | 5625 |
| Southside Faculty Medical Affiliates University Faculty Practice Corpo | 5698175933 | 198 |
| Entity Name | Downtown Bronx Medical Associates Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689618407 PECOS PAC ID: 9638082746 Enrollment ID: O20031106000016 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Entity Name | Southside Faculty Medical Affiliates University Faculty Prac |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033791058 PECOS PAC ID: 5698175933 Enrollment ID: O20210608003649 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel W Kim, MD 15 Bittersweet Ln, Glen Cove, NY 11542-1617 Ph: (516) 263-8836 | Samuel W Kim, MD 1 Columbia St, Dra Imaging, Pc, Poughkeepsie, NY 12601-3923 Ph: (845) 454-4700 |
Brendan Logiurato, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500 | |
Dr. Atin Goel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2678 South Rd Ste 202, Poughkeepsie, NY 12601 Phone: 845-790-5700 | |
Dr. Jon Michael Lewis, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Vassar Brothers Medical Center, Poughkeepsie, NY 12601 Phone: 845-454-8500 Fax: 845-790-5719 | |
Alexander Douglas Calvert, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500 | |
Dr. Mira Goldring Herman, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 45 Reade Pl, Poughkeepsie, NY 12601 Phone: 845-454-8500 | |
Brian Joseph Pinkosky, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 2678 South Rd Ste 202, Poughkeepsie, NY 12601 Phone: 845-790-5700 | |
Richard Jiao, M.D. Radiology Medicare: May Accept Medicare Assignments Practice Location: 30 Columbia St, Poughkeepsie, NY 12601 Phone: 845-231-5600 Fax: 845-231-5489 |