Mr Daegyun Kim, PT, LAC is a medicare enrolled "Physical Therapist" provider in Edison, New Jersey. He graduated from medical school in 1997 and has 27 years of diverse experience with area of expertise as Physical Therapy. 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 |
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| Gender | Male |
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| Speciality | Physical Therapy |
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| Experience | 27 Years |
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| Location | 1581 Route 27 Unit 3, Edison, New Jersey |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Daegyun Kim graduated from medical school in 1997
NPI Data:
- NPI Number: 1669404323
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 03/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 6507805470
- Enrollment ID: I20050527000139
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 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. Mr Daegyun Kim allows following entities to bill medicare on his behalf.
| Provider Name | Edison Rehabilitation & Acupuncture,p.c |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902107923
PECOS PAC ID: 0042497000
Enrollment ID: O20110601000060 |
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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 |
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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 |
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