Taeho Im, MD INC in Modesto, CA - Medicare Anesthesiology

Taeho Im, MD INC is a medicare enrolled "Anesthesiology" physician in Modesto, California. He went to Loma Linda University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as Anesthesiology. His current practice location is 1700 Coffee Rd, Modesto, California. You can reach out to his office (for appointments etc.) via phone at (209) 526-4500.

Taeho Im is licensed to practice in California (license number G66753) 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 1841203288.

Contact Information

	Taeho Im, MD INC
	1700 Coffee Rd, Modesto, CA 95355
	(209) 526-4500
	Not Available

Map and Direction

Physician's Profile

Full Name	Taeho Im
Gender	Male
Speciality	Anesthesiology
Experience	36 Years
Location	1700 Coffee Rd, Modesto, 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:

Taeho Im attended and graduated from Loma Linda University School Of Medicine in 1988

NPI Data:

NPI Number: 1841203288
Provider Enumeration Date: 08/15/2006
Last Update Date: 03/25/2024

Medicare PECOS Information:

PECOS PAC ID: 5294897138
Enrollment ID: I20081230000617

Medical Identifiers

Medical identifiers for Taeho Im such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841203288	NPI	-	NPPES
00G667530	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	G66753 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Memorial Medical Center	Modesto, CA	Hospital

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. Taeho Im allows following entities to bill medicare on his behalf.

Entity Name	Taeho Im Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053486498 PECOS PAC ID: 6103988043 Enrollment ID: O20081230000619

Entity Name	Regional Anesthesia Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811442874 PECOS PAC ID: 7810275096 Enrollment ID: O20161021001369

Entity Name	Core Anesthesia Provider Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1538800388 PECOS PAC ID: 7719367093 Enrollment ID: O20220705000130

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. Taeho Im 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
Taeho Im, MD INC 446 Selby Ln, Livermore, CA 94551-6346 Ph: (209) 480-3450	Taeho Im, MD INC 1700 Coffee Rd, Modesto, CA 95355 Ph: (209) 526-4500

Reviews and Comments

Anesthesiology Doctors in Modesto, CA

Vivian L Tan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Kenneth Imanaka, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Brian Paul Richardson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 619-933-4258 Fax: 858-777-3387
David Allen Betz, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-524-1211
Bindi Panjak Patel, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097
Vian Younan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 600 Coffee Rd, Modesto, CA 95355 Phone: 209-521-6097
Ker Yong J Koh, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1441 Florida Ave, Modesto, CA 95350 Phone: 209-576-3514

Taeho Im, MD INC - Medicare Anesthesiology in Modesto, CA