Sangjung Kim, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Tamuning, Guam. He went to Marquette University School Of Dentistry and graduated in 2024 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Guam Memorial Hospital, Guam Healthcare Development Incorporated and his current practice location is
850 Gov Carlos G Camacho Rd, Tamuning, Guam. You can reach out to his office (for appointments etc.) via phone at
(671) 647-2555.
Sangjung Kim is licensed to practice in Guam (license number 100181) 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 1619795424.
Provider's Profile
| Full Name | Sangjung Kim |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 850 Gov Carlos G Camacho Rd, Tamuning, Guam |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sangjung Kim attended and graduated from Marquette University School Of Dentistry in 2024
NPI Data:
- NPI Number: 1619795424
- Provider Enumeration Date: 09/30/2024
- Last Update Date: 09/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456886753
- Enrollment ID: I20241122003805
Medical Identifiers
Medical identifiers for Sangjung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1619795424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 100181 (Guam) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Guam Memorial Hospital | 5890781694 | 113 |
| Guam Healthcare Development Incorporated | 9234351776 | 174 |
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. Sangjung Kim allows following entities to bill medicare on his behalf.
| Entity Name | Guam Memorial Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366519027
PECOS PAC ID: 5890781694
Enrollment ID: O20040426000038 |
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| Entity Name | Guam Healthcare Development Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326447939
PECOS PAC ID: 9234351776
Enrollment ID: O20150326000266 |
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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. Sangjung 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 |
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Sangjung Kim,
Goryo Apt 703 Dong - 602 Ho, 8 Junggok-ro,
Geoje-si, GYEONGSANGNAM-DO 53249
Ph: () - | Sangjung Kim,
850 Gov Carlos G Camacho Rd,
Tamuning, GU 96913-3128
Ph: (671) 647-2555 |
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