| Scott Sang Won Kim, MD | |
|
533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 | |
| (317) 706-7246 | |
| (317) 706-3419 |
| Full Name | Scott Sang Won Kim |
|---|---|
| Gender | Male |
| Speciality | Pain Management |
| Experience | 10 Years |
| Location | 533 E County Line Rd, Greenwood, Indiana |
| 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 |
|---|---|---|---|
| 1164650461 | NPI | - | NPPES |
| 201410470 | Medicaid | IN |
| Facility Name | Location | Facility Type |
|---|---|---|
| Franciscan Health Indianapolis | Indianapolis, IN | Hospital |
| Franciscan Health Mooresville | Mooresville, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shadeland Anesthesia And Pain Associates Inc | 2769468990 | 39 |
| Entity Name | Shadeland Anesthesia & Pain Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477589000 PECOS PAC ID: 2769468990 Enrollment ID: O20040628000781 |
| Entity Name | Center For Special Surgery Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1538195169 PECOS PAC ID: 3577514660 Enrollment ID: O20050207000238 |
| Entity Name | Center For Southside Surgery, Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1003292483 PECOS PAC ID: 8729396585 Enrollment ID: O20150929001638 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Sang Won Kim, MD 8805 N Meridian St, Indianapolis, IN 46260-2760 Ph: (317) 706-7246 | Scott Sang Won Kim, MD 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 Ph: (317) 706-7246 |
Robert I. Prince, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 533 E County Line Rd, Suite 201, Greenwood, IN 46143 Phone: 317-706-7246 Fax: 317-706-3419 | |
Brian David Baer, NP-C Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 533 E County Line Rd Ste 201a, Greenwood, IN 46143 Phone: 317-706-7246 Fax: 317-706-3417 | |
Gregory Scott Masimore, MD Pain Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 Executive Park Dr Ste A, Greenwood, IN 46143 Phone: 317-346-7246 Fax: 317-543-3763 |