Samuel Kim, OD in Philadelphia, PA - Medicare Optometry Provider

Samuel Kim, OD is a medicare enrolled "Optometrist" provider in Philadelphia, Pennsylvania. He went to Pennsylvania College Of Optometry and graduated in 2022 and has 2 years of diverse experience with area of expertise as Optometry. He is a member of the group practice The Elder Eye Care Group, Inc and his current practice location is 1200 W Godfrey Ave, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 276-6000.

Samuel Kim is licensed to practice in Pennsylvania (license number OEG003897) 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 1174257703.

Contact Information

	Samuel Kim, OD
	1200 W Godfrey Ave, Philadelphia, PA 19141-3323
	(215) 276-6000
	(215) 276-6096

Map and Direction

Healthcare Provider's Profile

Full Name	Samuel Kim
Gender	Male
Speciality	Optometry
Experience	2 Years
Location	1200 W Godfrey Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Samuel Kim attended and graduated from Pennsylvania College Of Optometry in 2022

NPI Data:

NPI Number: 1174257703
Provider Enumeration Date: 07/11/2022
Last Update Date: 07/11/2022

Medicare PECOS Information:

PECOS PAC ID: 0345621140
Enrollment ID: I20220725001448

Medical Identifiers

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

Identifier	Type	State	Issuer
1174257703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	OEG003897 (Pennsylvania)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Elder Eye Care Group, Inc	3072584507	9

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. Samuel Kim allows following entities to bill medicare on his behalf.

Provider Name	Salus University
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336160027 PECOS PAC ID: 9133031883 Enrollment ID: O20040302000032

Provider Name	The Elder Eye Care Group, Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1265469654 PECOS PAC ID: 3072584507 Enrollment ID: O20040805001246

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. Samuel 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
Samuel Kim, OD 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 Ph: (215) 276-6000	Samuel Kim, OD 1200 W Godfrey Ave, Philadelphia, PA 19141-3323 Ph: (215) 276-6000

Reviews and Comments

Optometrist in Philadelphia, PA

Nia Phillips, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-6096
Dr. Carlo J Pelino, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329
Dr. Jean Marie Pagani, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-6167
Angela Tempesta, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 180 W Girard Ave, Philadelphia, PA 19123 Phone: 215-554-6222
Elizabeth Marie Marunde, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329
Dr. Melissa A Vitek, OPTOMETRIST Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1200 W Godfrey Ave, Philadelphia, PA 19141 Phone: 215-276-6000 Fax: 215-276-1329
Wills Eye Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 840 Walnut St, Philadelphia, PA 19107 Phone: 215-825-4771

Samuel Kim, OD - Medicare Optometrist in Philadelphia, PA