Taewan Kim, MD in Oswego, NY - Medicare General Surgery

Taewan Kim, MD is a medicare enrolled "Surgery" physician in Oswego, New York. He went to State University Of Ny Upstate Medical University and graduated in 1996 and has 30 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Crouse Medical Practice Pllc and his current practice location is 140 W 6th St Ste Ll30, Oswego, New York. You can reach out to his office (for appointments etc.) via phone at (315) 349-5511.

Taewan Kim is licensed to practice in New York (license number 220630) 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 1992757421.

Contact Information

	Taewan Kim, MD
	140 W 6th St Ste Ll30, Oswego, NY 13126-2564
	(315) 349-5511
	(315) 349-5921

Map and Direction

Physician's Profile

Full Name	Taewan Kim
Gender	Male
Speciality	General Surgery
Experience	30 Years
Location	140 W 6th St Ste Ll30, Oswego, 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.

Medical Education and Training:

Taewan Kim attended and graduated from State University Of Ny Upstate Medical University in 1996

NPI Data:

NPI Number: 1992757421
Provider Enumeration Date: 05/16/2006
Last Update Date: 03/29/2023

Medicare PECOS Information:

PECOS PAC ID: 0042233702
Enrollment ID: I20060109000419

Medical Identifiers

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

Identifier	Type	State	Issuer
1992757421	NPI	-	NPPES
02155824	Medicaid	NY
P02005039	Other	NY	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	220630 (New York)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Crouse Hospital	Syracuse, NY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Crouse Medical Practice Pllc	8426189622	171

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. Taewan Kim allows following entities to bill medicare on his behalf.

Entity Name	University Surgical Associates Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376590117 PECOS PAC ID: 7315834165 Enrollment ID: O20040304000499

Entity Name	Crouse Medical Practice Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922321934 PECOS PAC ID: 8426189622 Enrollment ID: O20100702000336

Entity Name	Physician Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073868113 PECOS PAC ID: 9032367453 Enrollment ID: O20120910000593

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. Taewan 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
Taewan Kim, MD 110 W 6th St, Oswego, NY 13126-2507 Ph: (315) 349-5511	Taewan Kim, MD 140 W 6th St Ste Ll30, Oswego, NY 13126-2564 Ph: (315) 349-5511

Reviews and Comments

Surgery Doctors in Oswego, NY

Dr. Lisa Marie Lai, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 County Route 45a Ste 100, Oswego, NY 13126 Phone: 315-312-0089 Fax: 315-342-2842
Howard M Simon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 38 Erie St, Oswego, NY 13126 Phone: 315-342-6771 Fax: 315-342-2842
Ryan Mcgarry Walker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 County Route 45a Ste 100, Oswego, NY 13126 Phone: 315-342-6771 Fax: 315-342-2842
Dr. Jeffrey Witt Strain, MD, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 County Route 45a Ste 100, Oswego, NY 13126 Phone: 315-312-0089
James Irwin Boles, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 154 W 7th St, Oswego, NY 13126 Phone: 315-342-5488 Fax: 315-342-0749
Dr. Allison Duggan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 110a W Utica St, Oswego, NY 13126 Phone: 315-342-6771 Fax: 315-342-2842
Dr. Osama Essa, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 County Route 45a Ste 100, Oswego, NY 13126 Phone: 315-342-6771 Fax: 315-342-2842

Taewan Kim, MD - Medicare General Surgery in Oswego, NY