Bumin Kong, in Thousand Oaks, CA - Medicare Emergency Medicine

Bumin Kong, is a medicare enrolled "Emergency Medicine" physician in Thousand Oaks, California. His current practice location is 558 Saint Charles Dr Ste 200, Thousand Oaks, California. You can reach out to his office (for appointments etc.) via phone at (805) 379-2322.

Bumin Kong is licensed to practice in California (license number A178290) 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 1497382220.

Contact Information

	Bumin Kong,
	558 Saint Charles Dr Ste 200, Thousand Oaks, CA 91360-3968
	(805) 379-2322
	Not Available

Map and Direction

Physician's Profile

Full Name	Bumin Kong
Gender	Male
Speciality	Emergency Medicine
Location	558 Saint Charles Dr Ste 200, Thousand Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497382220
Provider Enumeration Date: 03/23/2020
Last Update Date: 06/07/2024

Medicare PECOS Information:

PECOS PAC ID: 8820457252
Enrollment ID: I20230703002793

Medical Identifiers

Medical identifiers for Bumin Kong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497382220	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	A178290 (California)	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. Bumin Kong allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

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. Bumin Kong 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
Bumin Kong, 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: () -	Bumin Kong, 558 Saint Charles Dr Ste 200, Thousand Oaks, CA 91360-3968 Ph: (805) 379-2322

Reviews and Comments

Emergency Medicine Doctors in Thousand Oaks, CA

Dr. Evelyn Elise Cardenas, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 W Janss Rd, Thousand Oaks, CA 91360 Phone: 805-370-4435 Fax: 805-379-5579
Dr. Sandra Olivia Tuero, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 125 W Thousand Oaks Blvd Ste 200, Thousand Oaks, CA 91360 Phone: 805-418-9105
Autumn Garcia, FNP-BC Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 W Janss Rd, Thousand Oaks, CA 91360 Phone: 805-370-4435
Ellen B Crowe, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 115 Los Padres Dr, Thousand Oaks, CA 91361 Phone: 805-380-3313 Fax: 805-449-0091
Dr. Paul Thomas David, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 215 W Janss Rd, Thousand Oaks, CA 91360 Phone: 805-370-4435 Fax: 805-379-5579
Dr. Tuyet Hue Tran, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 215 W Janss Rd, Thousand Oaks, CA 91360 Phone: 805-495-2727

Bumin Kong, - Medicare Emergency Medicine in Thousand Oaks, CA