Hyong Kim Md Service Corporation - Medicare Primary Care in Champaign, IL

Hyong Kim Md Service Corporation is a medicare enrolled primary clinic (General Practice) in Champaign, Illinois. The current practice location for Hyong Kim Md Service Corporation is 206 N Randolph St Ste 2, Champaign, Illinois. For appointments, you can reach them via phone at (888) 789-9585. The mailing address for Hyong Kim Md Service Corporation is 3090 Bristol St Ste 200, Costa Mesa, California and phone number is (888) 789-9585.

Hyong Kim Md Service Corporation is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1528749066. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (888) 789-9585.

Contact Information

Hyong Kim Md Service Corporation
206 N Randolph St Ste 2
Champaign
IL 61820-3976
(888) 789-9585
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameHyong Kim Md Service Corporation
SpecialityGeneral Practice
Location206 N Randolph St Ste 2, Champaign, Illinois
Authorized Official Name and PositionHyong Kim (OWNER)
Authorized Official Contact8887899585
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hyong Kim Md Service Corporation
3090 Bristol St Ste 200
Costa Mesa
CA 92626-3061

Ph: (888) 789-9585
Hyong Kim Md Service Corporation
206 N Randolph St Ste 2
Champaign
IL 61820-3976

Ph: (888) 789-9585

NPI Details:

NPI Number1528749066
Provider Enumeration Date07/27/2023
Last Update Date01/08/2025

Medicare PECOS Information:

Medicare PECOS PAC ID1850829441
Medicare Enrollment IDO20250109003777

Medical Identifiers

Medical identifiers for Hyong Kim Md Service Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528749066NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Hyong Kim Md Service Corporation acts as a billing entity for following providers:
Provider NameRobert J Wolf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376566034
PECOS PAC ID: 1850371436
Enrollment ID: I20040723000377
Provider NameKristin S Finke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598003824
PECOS PAC ID: 7416193560
Enrollment ID: I20130417000066
Provider NameKhadra Aljazi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427599265
PECOS PAC ID: 8628340411
Enrollment ID: I20170814001419
Provider NameJacqueline Kaye Horne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689197147
PECOS PAC ID: 2466727979
Enrollment ID: I20171010001800
Provider NameShashanna Heard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669967543
PECOS PAC ID: 5698013084
Enrollment ID: I20190211000296
Provider NameMikhail Shulman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396309548
PECOS PAC ID: 3971846759
Enrollment ID: I20190517001665
Provider NameKristopher R Rhodes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1174177562
PECOS PAC ID: 2668808775
Enrollment ID: I20200210001633
Provider NameDiep Tran
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154969418
PECOS PAC ID: 2668800863
Enrollment ID: I20200323001537
Provider NameJames Kowalski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1801418561
PECOS PAC ID: 2961828462
Enrollment ID: I20200814000428
Provider NameCarissa A Oberhelman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659965424
PECOS PAC ID: 2668889577
Enrollment ID: I20210320000077
Provider NameJeff T Korn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245822501
PECOS PAC ID: 4587071428
Enrollment ID: I20210322000796
Provider NameKevin Chen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700462074
PECOS PAC ID: 7416357819
Enrollment ID: I20210607000755
Provider NameAndrea Arias
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750894747
PECOS PAC ID: 0446654099
Enrollment ID: I20210804003352
Provider NameLana M Galera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881262293
PECOS PAC ID: 2860897360
Enrollment ID: I20210821000369
Provider NameMark Galera
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144811779
PECOS PAC ID: 2163827361
Enrollment ID: I20210826001805
Provider NameChristina Hay
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124450390
PECOS PAC ID: 9032431127
Enrollment ID: I20220103000767
Provider NameRushabh A Shah
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1588169379
PECOS PAC ID: 7810244522
Enrollment ID: I20220118001631
Provider NameJean Geo Athappilly
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295478311
PECOS PAC ID: 6800279381
Enrollment ID: I20220816002019
Provider NameJaya Robert Luis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144917899
PECOS PAC ID: 5698131373
Enrollment ID: I20230523001253
Provider NameCharlene Hall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891484366
PECOS PAC ID: 0941660104
Enrollment ID: I20230719002420
Provider NameKatie Mucia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619660305
PECOS PAC ID: 2860855236
Enrollment ID: I20230901000216
Provider NameKacey F Cain
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316621824
PECOS PAC ID: 4183075609
Enrollment ID: I20240109004482
Provider NameAyanna Denise Washington
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215701982
PECOS PAC ID: 3274981881
Enrollment ID: I20240224000564
Provider NameJoshua Wood
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437722394
PECOS PAC ID: 2961806658
Enrollment ID: I20240305003909
Provider NameDhara Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386462794
PECOS PAC ID: 1153857909
Enrollment ID: I20241204001510
Provider NameHyong Kim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396792677
PECOS PAC ID: 7719998251
Enrollment ID: I20250109003830

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.