Mr Daegyun Kim, PT, LAC is a medicare enrolled "Physical Therapist" provider in Edison, New Jersey. His current practice location is
1581 Route 27 Unit 3, Edison, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 287-1990.
Mr Daegyun Kim is licensed to practice in New Jersey (license number 40QA01140100) 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 1669404323.
Healthcare Provider's Profile
| Full Name | Mr Daegyun Kim |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 1581 Route 27 Unit 3, Edison, New Jersey |
|---|
| 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:
- Mr Daegyun Kim attended and graduated from in
NPI Data:
- NPI Number: 1669404323
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 03/05/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Daegyun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669404323 | NPI | - | NPPES |
| 02646413 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | 25MZ00040500 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 017470 (New York) | Secondary |
| 225100000X | Physical Therapist | 40QA01140100 (New Jersey) | Primary |
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. Mr Daegyun 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 |
|---|
Mr Daegyun Kim, PT, LAC
1581 Route 27 Unit 3,
Edison, NJ 08817-3477
Ph: (732) 287-1990 | Mr Daegyun Kim, PT, LAC
1581 Route 27 Unit 3,
Edison, NJ 08817-3477
Ph: (732) 287-1990 |
Reviews and Comments