Chong Tae Kim, MD | |
3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Rehabilitation, Philadelphia, PA 19104-4319 | |
(215) 590-7439 | |
(267) 426-5236 |
Full Name | Chong Tae Kim |
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Gender | Male |
Speciality | Physical Medicine & Rehabilitation |
Location | 3401 Civic Center Blvd, Philadelphia, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285643031 | NPI | - | NPPES |
001875897 | Medicaid | PA | |
8686602 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | MD073938L (Pennsylvania) | Primary |
Entity Name | Childrens Health Care Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598869059 PECOS PAC ID: 1355253527 Enrollment ID: O20040216001108 |
Mailing Address | Practice Location Address |
---|---|
Chong Tae Kim, MD 100 E Penn Sq, 9th Floor, Philadelphia, PA 19107-3323 Ph: (267) 425-9234 | Chong Tae Kim, MD 3401 Civic Center Blvd, Children's Hospital Of Philadelphia - Rehabilitation, Philadelphia, PA 19104-4319 Ph: (215) 590-7439 |
Mikhail Freylikh, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 12033 Bustleton Ave, Philadelphia, PA 19116 Phone: 215-671-8840 Fax: 215-671-1933 | |
Dr. Peggy Lynn Abrams, M.D. Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1531 Spruce St, Philadelphia, PA 19102 Phone: 215-546-1591 | |
Lindsay Gerringer, PT Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 8015 Frankford Ave, Philadelphia, PA 19136 Phone: 215-338-8900 | |
John Whyte, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599 | |
Curtis W Slipman, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 3400 Spruce Street, 1 Ground White Bldg, Philadelphia, PA 19104 Phone: 215-662-3261 | |
Patricia Ellen Riley, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 2601 Holme Ave, Philadelphia, PA 19152 Phone: 215-335-6375 Fax: 215-335-6196 | |
Dr. Patrick M. Rommel, DO Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1513 Race St, Philadelphia, PA 19102 Phone: 215-587-3056 Fax: 215-587-9405 |