Sangjeung Kim, in New York, NY - Medicare Physical Therapist Provider

Sangjeung Kim, is a medicare enrolled "Physical Therapist - Orthopedic" provider in New York, New York. His current practice location is 605 Madison Ave Fl 4, New York, New York. You can reach out to his office (for appointments etc.) via phone at (760) 916-6941.

Sangjeung Kim is licensed to practice in New York (license number 048051-01) 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 1255924254.

Contact Information

	Sangjeung Kim,
	605 Madison Ave Fl 4, New York, NY 10022-1738
	(760) 916-6941
	(917) 905-4370

Map and Direction

Healthcare Provider's Profile

Full Name	Sangjeung Kim
Gender	Male
Speciality	Physical Therapist - Orthopedic
Location	605 Madison Ave Fl 4, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255924254
Provider Enumeration Date: 02/19/2021
Last Update Date: 08/11/2025

Medicare PECOS Information:

PECOS PAC ID: 5698183283
Enrollment ID: I20210420002459

Medical Identifiers

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

Identifier	Type	State	Issuer
1255924254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	299931 (California)	Secondary
2251X0800X	Physical Therapist - Orthopedic	40QA02235700 (New Jersey)	Secondary
2251X0800X	Physical Therapist - Orthopedic	048051-01 (New York)	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. Sangjeung Kim allows following entities to bill medicare on his behalf.

Provider Name	Doskalchuk Physical Therapy Corporation
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1437715414 PECOS PAC ID: 8022347780 Enrollment ID: O20190906000461

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. Sangjeung 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
Sangjeung Kim, 3432 97th St, Flushing, NY 11368-1032 Ph: (760) 916-6941	Sangjeung Kim, 605 Madison Ave Fl 4, New York, NY 10022-1738 Ph: (760) 916-6941

Reviews and Comments

Physical Therapist in New York, NY

Wilbert Lao, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 37 W 26th St, Suite 302, New York, NY 10010 Phone: 718-285-0588 Fax: 718-285-9323
Elisabeth Anne Frank, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 5th Ave, 22nd Floor, New York, NY 10017 Phone: 404-849-5770
Ryanne Tanae Glasper, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 230 W 38th St Fl 18, New York, NY 10018 Phone: 212-997-7490 Fax: 212-007-7492
Miss Shari Ilise Nadel, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 147 W 35th St, Suite 407, New York, NY 10001 Phone: 917-591-8494
Katherine Spencer, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 201 W 108th St Apt 41, New York, NY 10025 Phone: 585-737-2360
Kunjan Shah, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 3rd Ave, 5th Floor, New York, NY 10017 Phone: 212-204-5144
Mr. Ramoncito Tiosejo Dizon, RPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 1615 Madison Ave, New York, NY 10029 Phone: 212-860-5803 Fax: 212-860-6095

Sangjeung Kim, - Medicare Physical Therapist in New York, NY