Charles Chol Bae Kim, MD in Tustin, CA - Medicare Family Practice

Charles Chol Bae Kim, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in Tustin, California. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Wound Masters Medical Group Inc, Wound Masters Mobile Physicians, Pc, Wound Masters Medical Group Inc and his current practice location is 14642 Newport Ave Ste 105, Tustin, California. You can reach out to his office (for appointments etc.) via phone at (714) 831-1112.

Charles Chol Bae Kim is licensed to practice in California (license number C129160) 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 1225564818.

Contact Information

	Charles Chol Bae Kim, MD
	14642 Newport Ave Ste 105, Tustin, CA 92780-6058
	(714) 831-1112
	(714) 486-2309

Map and Direction

Physician's Profile

Full Name	Charles Chol Bae Kim
Gender	Male
Speciality	Family Practice
Experience	43 Years
Location	14642 Newport Ave Ste 105, Tustin, California
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:

Charles Chol Bae Kim graduated from medical school in 1981

NPI Data:

NPI Number: 1225564818
Provider Enumeration Date: 05/03/2017
Last Update Date: 10/13/2021

Medicare PECOS Information:

PECOS PAC ID: 8921374232
Enrollment ID: I20171031002424

Medical Identifiers

Medical identifiers for Charles Chol Bae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225564818	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	54481 (Arizona)	Secondary
207QG0300X	Family Medicine - Geriatric Medicine	C-129160 (California)	Secondary
207QA0505X	Family Medicine - Adult Medicine	C129160 (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. Charles Chol Bae Kim allows following entities to bill medicare on his behalf.

Entity Name	Wound Masters Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376063461 PECOS PAC ID: 8224307053 Enrollment ID: O20170710002429

Entity Name	Charles Kim Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780237313 PECOS PAC ID: 9133462823 Enrollment ID: O20190521001757

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. Charles Chol Bae 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
Charles Chol Bae Kim, MD 1200 W Mohave Rd, Parker, AZ 85344-6349 Ph: (928) 669-7380	Charles Chol Bae Kim, MD 14642 Newport Ave Ste 105, Tustin, CA 92780-6058 Ph: (714) 831-1112

Reviews and Comments

Family Medicine Doctors in Tustin, CA

Renee Heather Ballentine, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878
Dr. Stephen Chang, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878
Dr. Myron Reiff, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 3002 Dow Ave, Suite 204, Tustin, CA 92780 Phone: 714-368-0800 Fax: 714-368-0900
Cathrin Hee Lim, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300
Son Do, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890 Fax: 714-665-9891
William Robert Crumpton, M,D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14642 Newport Ave, Suite#200, Tustin, CA 92780 Phone: 714-669-4466 Fax: 714-669-4088

Charles Chol Bae Kim, MD - Medicare Family Practice in Tustin, CA