| Suk Chul Kim, AG-ACNP | |
|
1215 Lee St, Charlottesville, VA 22908-1165 | |
| (434) 924-2409 | |
| (434) 982-4429 |
| Full Name | Suk Chul Kim |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 1215 Lee St, Charlottesville, Virginia |
| 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 |
|---|---|---|---|
| 1245968973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LA2100X | Nurse Practitioner - Acute Care | R213897 (Maryland) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 0024185025 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Washington Cardiovascular Institute, Llc | 7517903982 | 13 |
| Washington Cardiovascular Institute, Llc | 7517903982 | 13 |
| Entity Name | Washington Cardiovascular Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205835485 PECOS PAC ID: 7517903982 Enrollment ID: O20050707000548 |
| Entity Name | Washington Cardiovascular Institute, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205835485 PECOS PAC ID: 7517903982 Enrollment ID: O20170104001162 |
| Entity Name | Wvs Takoma Park Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1326746389 PECOS PAC ID: 5395110597 Enrollment ID: O20240819002591 |
| Mailing Address | Practice Location Address |
|---|---|
| Suk Chul Kim, AG-ACNP Po Box 9007, Charlottesville, VA 22906-9007 Ph: () - | Suk Chul Kim, AG-ACNP 1215 Lee St, Charlottesville, VA 22908-1165 Ph: (434) 924-2409 |
Norma Branham, R.N., N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-2047 | |
Joy R Miller, PNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-243-2617 | |
Rebecca L Hand, ACNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-982-1100 | |
Megan E. Kingdon, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1215 Lee St, Charlottesville, VA 22908 Phone: 434-924-9400 Fax: 434-982-1618 | |
Mrs. Stephanie Richardson Wilhelm, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 Martha Jefferson Dr, Charlottesville, VA 22911 Phone: 434-654-7150 | |
Kimberly Conrad, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Lee St, Charlottesville, VA 22908 Phone: 434-924-9333 Fax: 434-244-7526 | |
Shawn Pennetti, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3025 Berkmar Dr, Charlottesville, VA 22901 Phone: 434-973-1831 |