Dr Daniel Kim, MD | |
250 Bmh Physicians Office Bldg, Maryville, TN 37804-5904 | |
(865) 980-5244 | |
(865) 980-5245 |
Full Name | Dr Daniel Kim |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 23 Years |
Location | 250 Bmh Physicians Office Bldg, Maryville, Tennessee |
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 |
---|---|---|---|
1174792154 | NPI | - | NPPES |
Q022093 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | MD54161 (Tennessee) | Primary |
208600000X | Surgery | MD54161 (Tennessee) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Blount Memorial Hospital | Maryville, TN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Blount Memorial Physician Group Inc | 6406844174 | 229 |
Entity Name | Blount Memorial Physician Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699710194 PECOS PAC ID: 6406844174 Enrollment ID: O20040503000547 |
Mailing Address | Practice Location Address |
---|---|
Dr Daniel Kim, MD 103 W Broadway Ave, Maryville, TN 37801-4703 Ph: (865) 273-1752 | Dr Daniel Kim, MD 250 Bmh Physicians Office Bldg, Maryville, TN 37804-5904 Ph: (865) 980-5244 |
Melissa Emlyn Trekell, M.D.,FACS,M.B.A. Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5244 Fax: 865-980-5245 | |
Dr. Julie Ann Elisabeth Corcoran, DO, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-681-4800 Fax: 865-681-5558 | |
Stephen E Pacifico, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5244 Fax: 865-980-5245 | |
Andrew Hodge, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 250 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-980-5244 Fax: 865-980-5245 | |
Mr. Randal L Croshaw, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 200 Bmh Cancer Ctr, Maryville, TN 37804 Phone: 865-980-5277 Fax: 865-980-5278 | |
James Bradley Ray, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-238-6430 Fax: 865-238-6444 |