Chan Yoon Kim, OD in Morrow, GA - Medicare Optometrist Provider

Chan Yoon Kim, OD is a medicare enrolled "Optometrist" provider in Morrow, Georgia. His current practice location is 1000 Corporate Center Dr, Morrow, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 968-8888.

Chan Yoon Kim is licensed to practice in Georgia (license number OPT003537) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528848074.

Contact Information

	Chan Yoon Kim, OD
	1000 Corporate Center Dr, Morrow, GA 30260-4180
	(770) 968-8888
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chan Yoon Kim
Gender	Male
Speciality	Optometrist
Location	1000 Corporate Center Dr, Morrow, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528848074
Provider Enumeration Date: 10/03/2023
Last Update Date: 10/03/2023

Medicare PECOS Information:

PECOS PAC ID: 5294179719
Enrollment ID: I20240222003462

Medical Identifiers

Medical identifiers for Chan Yoon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528848074	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OPT003537 (Georgia)	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. Chan Yoon Kim allows following entities to bill medicare on his behalf.

Provider Name	Eye Care Centers Management, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1699888131 PECOS PAC ID: 5092701342 Enrollment ID: O20040422000201

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. Chan Yoon 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
Chan Yoon Kim, OD 3497 Lori Ln, Duluth, GA 30096-7302 Ph: (678) 469-5347	Chan Yoon Kim, OD 1000 Corporate Center Dr, Morrow, GA 30260-4180 Ph: (770) 968-8888

Reviews and Comments

Optometrist in Morrow, GA

Kirk L Smick, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Corporate Center Drive, Suite 100, Morrow, GA 30260 Phone: 770-968-8888 Fax: 770-960-2473
Family Eye Care Center Of Atlanta, Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1400 Southlake Mall, Morrow, GA 30260 Phone: 678-422-1936 Fax: 678-422-1936
Thomas Eye Group Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1544 Southlake Pkwy Ste 9b, Morrow, GA 30260 Phone: 770-961-9090 Fax: 770-961-4343
Andre Whitehead, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2402 Southlake Mall, Morrow, GA 30260 Phone: 770-961-1001 Fax: 770-961-4073
Dr. Carla Renee Lindsay, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1281 Southlake Cir, Morrow, GA 30260 Phone: 770-961-2998 Fax: 770-961-0110
Anbinh Ho, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1000 Corporate Center Dr Ste 100, Morrow, GA 30260 Phone: 770-968-8888
Clayton Eye Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1000 Corporate Center Dr Ste 100, Morrow, GA 30260 Phone: 770-968-8888 Fax: 770-960-2473

Chan Yoon Kim, OD - Medicare Optometrist in Morrow, GA