| Timothy S Kim, MD | |
|
51221 Schoenherr, Suite 201, Shelby Township, MI 48315 | |
| (586) 254-3545 | |
| (586) 254-3136 |
| Full Name | Timothy S Kim |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 31 Years |
| Location | 51221 Schoenherr, Suite 201, Shelby Township, Michigan |
| 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 |
|---|---|---|---|
| 1659303626 | NPI | - | NPPES |
| 3465047 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 064094 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mclaren Macomb | 8921912791 | 114 |
| Entity Name | Mclaren Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346396066 PECOS PAC ID: 3971416082 Enrollment ID: O20031106000025 |
| Entity Name | Henry Ford Macomb Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134265986 PECOS PAC ID: 7911808381 Enrollment ID: O20040119000142 |
| Entity Name | Mclaren Macomb |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396014601 PECOS PAC ID: 8921912791 Enrollment ID: O20040120001000 |
| Entity Name | Mycare Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265749683 PECOS PAC ID: 6406039403 Enrollment ID: O20110329000826 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy S Kim, MD 51221 Schoenherr, Suite 201, Shelby Township, MI 48315 Ph: (586) 254-3545 | Timothy S Kim, MD 51221 Schoenherr, Suite 201, Shelby Township, MI 48315 Ph: (586) 254-3545 |
Andrew M Agosta, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 51221 Schoenherr, Suite 201, Shelby Township, MI 48315 Phone: 586-254-3545 Fax: 586-254-3136 | |
Dr. Millard R Golusin, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 13467 23 Mile Rd, Shelby Township, MI 48315 Phone: 248-267-5040 Fax: 248-267-5041 |