Dr Edward Hyounwoo Kim, MD is a medicare enrolled "Family Medicine" physician in Oakley, California. His current practice location is
2021 Main St, Oakley, California. You can reach out to his office (for appointments etc.) via phone at
(925) 776-8200.
Dr Edward Hyounwoo Kim is licensed to practice in California (license number A126368) 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 1124342977.
Physician's Profile
| Full Name | Dr Edward Hyounwoo Kim |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 2021 Main St, Oakley, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1124342977
- Provider Enumeration Date: 03/23/2010
- Last Update Date: 03/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486872983
- Enrollment ID: I20181008003288
Medical Identifiers
Medical identifiers for Dr Edward Hyounwoo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124342977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | A126368 (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. Dr Edward Hyounwoo Kim allows following entities to bill medicare on his behalf.
| Entity Name | La Clinica De La Raza Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144336181
PECOS PAC ID: 1557258282
Enrollment ID: O20040227001016 |
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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. Dr Edward Hyounwoo 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 |
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Dr Edward Hyounwoo Kim, MD
Po Box 22210,
Oakland, CA 94623-2210
Ph: (510) 535-4000 | Dr Edward Hyounwoo Kim, MD
2021 Main St,
Oakley, CA 94561-3302
Ph: (925) 776-8200 |
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