Dr Jun Dong Kim, DO is a medicare enrolled "Obstetrics & Gynecology" physician in East Chicago, Indiana. His current practice location is
100 W Chicago Ave Ste F, East Chicago, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 392-7016.
Dr Jun Dong Kim is licensed to practice in Indiana (license number 02004986A) 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 1336411610.
Physician's Profile
| Full Name | Dr Jun Dong Kim |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 100 W Chicago Ave Ste F, East Chicago, Indiana |
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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 Jun Dong Kim attended and graduated from in
NPI Data:
- NPI Number: 1336411610
- Provider Enumeration Date: 02/02/2012
- Last Update Date: 07/31/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jun Dong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336411610 | NPI | - | NPPES |
| 036136056 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207V00000X | Obstetrics & Gynecology | 036136056 (Illinois) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 02004986A (Indiana) | Primary |
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 Jun Dong 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 |
|---|
Dr Jun Dong Kim, DO
338 Larry Power Rd,
Bourbonnais, IL 60914-4430
Ph: (815) 935-4651 | Dr Jun Dong Kim, DO
100 W Chicago Ave Ste F,
East Chicago, IN 46312-3261
Ph: (219) 392-7016 |
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