Dr Justin Taehwan Kim, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Houston, Texas. He went to New York Medical College and graduated in 2001 and has 23 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Permanente Medical Group Inc and his current practice location is
7500 Kirby Dr, #1523, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(281) 904-0144.
Dr Justin Taehwan Kim is licensed to practice in California (license number A81099) 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 1043489248.
Physician's Profile
| Full Name | Dr Justin Taehwan Kim |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 23 Years |
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| Location | 7500 Kirby Dr, Houston, Texas |
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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 Justin Taehwan Kim attended and graduated from New York Medical College in 2001
NPI Data:
- NPI Number: 1043489248
- Provider Enumeration Date: 02/21/2008
- Last Update Date: 02/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 0840487039
- Enrollment ID: I20101214000935
Medical Identifiers
Medical identifiers for Dr Justin Taehwan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043489248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | A81099 (California) | Secondary |
| 208C00000X | Colon & Rectal Surgery | A81099 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Permanente Medical Group Inc | 8921910225 | 8376 |
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 Justin Taehwan Kim allows following entities to bill medicare on his behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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 Justin Taehwan 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 Justin Taehwan Kim, MD
7500 Kirby Dr, #1523,
Houston, TX 77030-4300
Ph: (281) 904-0144 | Dr Justin Taehwan Kim, MD
7500 Kirby Dr, #1523,
Houston, TX 77030-4300
Ph: (281) 904-0144 |
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