Brian Sangwook Kim, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chicago, Illinois. His current practice location is
820 S Wood St Ste 100, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(293) 331-2996.
Brian Sangwook Kim is licensed to practice in Illinois (license number ) 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 1508626813.
Physician's Profile
Full Name | Brian Sangwook Kim |
---|
Gender | Male |
---|
Speciality | Student In An Organized Health Care Education/training Program |
---|
Location | 820 S Wood St Ste 100, Chicago, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508626813
- Provider Enumeration Date: 03/21/2024
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103360847
- Enrollment ID: I20240704000675
Medical Identifiers
Medical identifiers for Brian Sangwook Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508626813 | NPI | - | NPPES |
125084826 | Other | IL | TEMPORARY MEDICAL LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 125084826 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (Illinois) | 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. Brian Sangwook 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 |
Brian Sangwook Kim, MD 820 S Wood St Ste 100, Chicago, IL 60612-4325 Ph: (293) 331-2996 | Brian Sangwook Kim, MD 820 S Wood St Ste 100, Chicago, IL 60612-4325 Ph: (293) 331-2996 |
Reviews and Comments