Billy John Kim, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Mount Juliet, Tennessee. He went to University Of Texas Medical School At San Antonio and graduated in 2003 and has 21 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice The Surgical Clinic Pllc and his current practice location is
660 S Mount Juliet Rd Ste 230, Mount Juliet, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(615) 874-9667.
Billy John Kim is licensed to practice in Tennessee (license number 46035) 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 1942404728.
Physician's Profile
Full Name | Billy John Kim |
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Gender | Male |
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Speciality | Vascular Surgery |
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Experience | 21 Years |
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Location | 660 S Mount Juliet Rd Ste 230, Mount Juliet, Tennessee |
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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. |
Medical Education and Training:
- Billy John Kim attended and graduated from University Of Texas Medical School At San Antonio in 2003
NPI Data:
- NPI Number: 1942404728
- Provider Enumeration Date: 06/13/2007
- Last Update Date: 08/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 4789878596
- Enrollment ID: I20101104001382
Medical Identifiers
Medical identifiers for Billy John Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942404728 | NPI | - | NPPES |
BP2-0019172 | Other | | INSTITUTIONAL PERMIT |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | 46035 (Tennessee) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
The Surgical Clinic Pllc | 1759271695 | 52 |
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. Billy John Kim allows following entities to bill medicare on his behalf.
Entity Name | The Surgical Clinic Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417983099 PECOS PAC ID: 1759271695 Enrollment ID: O20040316000974 |
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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. Billy John 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 |
Billy John Kim, MD 410 42nd Ave N Ste 400, Nashville, TN 37209-3658 Ph: (615) 329-7887 | Billy John Kim, MD 660 S Mount Juliet Rd Ste 230, Mount Juliet, TN 37122-3923 Ph: (615) 874-9667 |
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