Josephine Kim, | |
1090 Commerce Dr, Prescott, AZ 86305-3700 | |
(928) 583-1000 | |
Not Available |
Full Name | Josephine Kim |
---|---|
Gender | Female |
Speciality | Obstetrics/gynecology |
Experience | 27 Years |
Location | 1090 Commerce Dr, Prescott, Arizona |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881798312 | NPI | - | NPPES |
861353 | Medicaid | AZ | |
AW6618 | Other | AZ | HEALTHNET |
AZ0753660 | Other | AZ | BCBS PROV NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207V00000X | Obstetrics & Gynecology | 32716 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Yavapai Regional Medical Center | Prescott, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
County Of Yavapai | 8921919499 | 12 |
Entity Name | County Of Yavapai |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659317022 PECOS PAC ID: 8921919499 Enrollment ID: O20031204000266 |
Mailing Address | Practice Location Address |
---|---|
Josephine Kim, 1090 Commerce Dr, Prescott, AZ 86305-3700 Ph: (928) 583-1000 | Josephine Kim, 1090 Commerce Dr, Prescott, AZ 86305-3700 Ph: (928) 583-1000 |
Mary P Hogan, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 1005 Division St, Prescott, AZ 86301 Phone: 928-776-8428 Fax: 928-776-8057 | |
Michele R Jones, R.N.F.A. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 919 12th Pl, Suite 1, Prescott, AZ 86305 Phone: 928-778-4300 Fax: 928-771-0920 | |
Cydney Siggins, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1005 Division St, Prescott, AZ 86301 Phone: 928-776-8428 Fax: 928-776-8057 | |
Dr. Luis Anthony Fernandez, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1005 Division St, Prescott, AZ 86301 Phone: 928-776-8428 Fax: 928-776-8057 | |
Denise Lynn Gallus, PA Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1000 Willow Creek Rd Ste E, Prescott, AZ 86301 Phone: 928-583-7887 | |
Dr. Jeanette Marie Pilotte, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 802 Ainsworth Dr, Suite C, Prescott, AZ 86301 Phone: 928-583-7887 Fax: 928-583-7886 |