Dr Dae Y Kim, MD, PHD | |
1145 S Utica Ave, Suite 202, Tulsa, OK 74104-4000 | |
(918) 579-3130 | |
(918) 579-3139 |
Full Name | Dr Dae Y Kim |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 17 Years |
Location | 1145 S Utica Ave, Tulsa, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003000597 | NPI | - | NPPES |
324649801 (MDACC) | Medicaid | TX | |
8EB319 (MDACC) | Other | TX | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | 31577 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hillcrest Medical Center | Tulsa, OK | Hospital |
Hillcrest Hospital South | Tulsa, OK | Hospital |
Muscogee (creek) Nation Medical Center | Okmulgee, OK | Hospital |
Hillcrest Hospital Henryetta | Henryetta, OK | Hospital |
Hillcrest Hospital Pryor | Pryor, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Creek Nation Hospital And Clinics | 5698786226 | 277 |
Ahs Oklahoma Physician Group Llc | 9436122496 | 302 |
Entity Name | Ahs Oklahoma Physician Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235182775 PECOS PAC ID: 9436122496 Enrollment ID: O20040817001197 |
Entity Name | Creek Nation Hospital & Clinics |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366593923 PECOS PAC ID: 5698786226 Enrollment ID: O20070821000130 |
Mailing Address | Practice Location Address |
---|---|
Dr Dae Y Kim, MD, PHD 1145 S Utica Ave, Suite 202, Tulsa, OK 74104-4000 Ph: (918) 579-3130 | Dr Dae Y Kim, MD, PHD 1145 S Utica Ave, Suite 202, Tulsa, OK 74104-4000 Ph: (918) 579-3130 |
Dr. Clarence Michael Johnson, D.O. Urology Medicare: Not Enrolled in Medicare Practice Location: 802 S Jackson Ave, Suite 110, Tulsa, OK 74127 Phone: 918-599-4477 Fax: 918-599-4479 | |
Bruce Carlton Stoesser, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 10901 E 48th St S, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Kevin Joseph Gancarczyk, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10901 E 48th St, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Dr. Rustin Chanc Walters, M.D. Urology Medicare: Medicare Enrolled Practice Location: 10901 E 48th St, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Jack Steve Miller, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 10901 E 48th St, Tulsa, OK 74146 Phone: 918-749-8765 Fax: 918-392-2155 | |
Dr. Paul G Hagood, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1145 S Utica Ave, Ste 202, Tulsa, OK 74104 Phone: 918-579-3130 Fax: 918-579-3139 |