| Byung Geun Kim, APN | |
|
2501 W Silver Spring Dr, Glendale, WI 53209-4217 | |
| (414) 461-9250 | |
| Not Available |
| Full Name | Byung Geun Kim |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 2501 W Silver Spring Dr, Glendale, Wisconsin |
| 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 |
|---|---|---|---|
| 1114326758 | NPI | - | NPPES |
| 163507 | Other | WI | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 163507 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcmc Urgicare Llc | 0648220244 | 4 |
| Independent Physicians Of Wisconsin Llc | 3274842034 | 33 |
| Entity Name | Mcmc Urgicare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134238017 PECOS PAC ID: 0648220244 Enrollment ID: O20050131000681 |
| Entity Name | Independent Physicians Of Wisconsin Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871975920 PECOS PAC ID: 3274842034 Enrollment ID: O20151016001548 |
| Mailing Address | Practice Location Address |
|---|---|
| Byung Geun Kim, APN 2501 W Silver Spring Dr, Glendale, WI 53209-4217 Ph: (414) 461-9250 | Byung Geun Kim, APN 2501 W Silver Spring Dr, Glendale, WI 53209-4217 Ph: (414) 461-9250 |
Kayla Ortiz, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 525 W River Woods Pkwy Ste 130, Glendale, WI 53212 Phone: 414-961-0304 | |
Mrs. Kathleen Pugh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 525 W River Woods Pkwy Ste 130, Glendale, WI 53212 Phone: 414-249-2420 Fax: 414-961-0298 | |
Paula M Kiehl, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 475 W River Woods Pkwy, Glendale, WI 53212 Phone: 414-961-6770 Fax: 414-961-6791 | |
Erin K Gonzalez, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4425 N Port Washington Rd, Glendale, WI 53212 Phone: 414-326-2218 Fax: 414-326-2208 | |
Jane Klemmer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 377 W River Woods Pkwy Ste 201, Glendale, WI 53212 Phone: 414-323-6880 Fax: 414-539-3651 | |
Mrs. Karen S Lim, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 377 W River Woods Pkwy Ste 201, Glendale, WI 53212 Phone: 414-323-6880 Fax: 414-529-3651 |