Dr James D Kim, MD | |
7802 W Jefferson Blvd Ste A, Fort Wayne, IN 46804-4138 | |
(260) 305-2822 | |
(260) 305-2829 |
Full Name | Dr James D Kim |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 15 Years |
Location | 7802 W Jefferson Blvd Ste A, Fort Wayne, Indiana |
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 |
---|---|---|---|
1255657151 | NPI | - | NPPES |
300058132 | Medicaid | IN | |
7100053130 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 62214-20 (Wisconsin) | Secondary |
207W00000X | Ophthalmology | 01083315A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Joseph Hospital | Fort wayne, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Indiana Retina Center Llc | 0749677011 | 2 |
Entity Name | Indiana Retina Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518609429 PECOS PAC ID: 0749677011 Enrollment ID: O20220505000973 |
Mailing Address | Practice Location Address |
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Dr James D Kim, MD 7802 W Jefferson Blvd Ste A, Fort Wayne, IN 46804-4138 Ph: (260) 305-2822 | Dr James D Kim, MD 7802 W Jefferson Blvd Ste A, Fort Wayne, IN 46804-4138 Ph: (260) 305-2822 |
Dr. Norman A Kempler, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 3124 E State Blvd, Suite 4a, Fort Wayne, IN 46805 Phone: 260-482-2312 Fax: 260-483-3570 | |
Barbara Schroeder, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3301 Lake Ave, Fort Wayne, IN 46805 Phone: 260-422-3937 Fax: 260-424-6900 | |
Dr. Austin Louis Gerber, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 7920 W Jefferson Blvd Ste 230, Fort Wayne, IN 46804 Phone: 260-440-2201 | |
Thomas Allen Shealy, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 6036 Trier Rd, Fort Wayne, IN 46815 Phone: 260-486-0065 Fax: 260-486-3437 | |
Dr. John Rex Parent, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 321 E Wayne St, Fort Wayne, IN 46802 Phone: 260-424-5656 Fax: 260-424-4511 | |
Dr. Gohar A Salam, M.D., F.A.C.S. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 11188 Diebold Rd, Fort Wayne, IN 46845 Phone: 260-483-9500 Fax: 260-483-9511 |