Young Kwon Kim, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Dover, Massachusetts. Her current practice location is
56 Walpole St, Dover, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 785-4006.
Young Kwon Kim is licensed to practice in Massachusetts (license number 153939) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932213832.
Physician's Profile
| Full Name | Young Kwon Kim |
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| Gender | Female |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 56 Walpole St, Dover, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932213832
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 05/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234167602
- Enrollment ID: I20080529000188
Medical Identifiers
Medical identifiers for Young Kwon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1932213832 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2085R0202X | Radiology - Diagnostic Radiology | 153939 (Massachusetts) | Primary |
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. Young Kwon Kim allows following entities to bill medicare on her behalf.
| Entity Name | Milford Imaging, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063524650 PECOS PAC ID: 2769462134 Enrollment ID: O20040726000122 |
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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. Young Kwon 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 |
Young Kwon Kim, MD 56 Walpole St, Dover, MA 02030-2552 Ph: (508) 785-4006 | Young Kwon Kim, MD 56 Walpole St, Dover, MA 02030-2552 Ph: (508) 785-4006 |
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