Dr Jae Yul Kim, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Duarte, California. He went to University Of California, San Francisco School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice City Of Hope Medical Foundation and his current practice location is
1500 Duarte Rd, Duarte, California. You can reach out to his office (for appointments etc.) via phone at
(626) 256-4673.
Dr Jae Yul Kim is licensed to practice in California (license number A85288) 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 1023147014.
Physician's Profile
| Full Name | Dr Jae Yul Kim |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 22 Years |
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| Location | 1500 Duarte Rd, Duarte, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jae Yul Kim attended and graduated from University Of California, San Francisco School Of Medicine in 2002
NPI Data:
- NPI Number: 1023147014
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 11/09/2020
Medicare PECOS Information:
- PECOS PAC ID: 8123298098
- Enrollment ID: I20110901000209
Medical Identifiers
Medical identifiers for Dr Jae Yul Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1023147014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | A85288 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| City Of Hope Medical Foundation | 3779751656 | 690 |
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 Jae Yul Kim allows following entities to bill medicare on his behalf.
| Entity Name | City Of Hope Medical Foundation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871886366
PECOS PAC ID: 3779751656
Enrollment ID: O20110720000244 |
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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 Jae Yul 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 Jae Yul Kim, MD
Po Box 512185,
Los Angeles, CA 90051-0185
Ph: (626) 775-3514 | Dr Jae Yul Kim, MD
1500 Duarte Rd,
Duarte, CA 91010-3012
Ph: (626) 256-4673 |
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