Dr Kenneth Pak Kim, MD in Marietta, GA - Medicare Anesthesiology

Dr Kenneth Pak Kim, MD is a medicare enrolled "Anesthesiology" physician in Marietta, Georgia. His current practice location is 2540 Windy Hill Rd Se, Marietta, Georgia. You can reach out to his office (for appointments etc.) via phone at (470) 644-1274.

Dr Kenneth Pak Kim is licensed to practice in Georgia (license number 97909) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568690832.

Contact Information

	Dr Kenneth Pak Kim, MD
	2540 Windy Hill Rd Se, Marietta, GA 30067-8605
	(470) 644-1274
	(470) 644-1119

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Pak Kim
Gender	Male
Speciality	Anesthesiology
Location	2540 Windy Hill Rd Se, Marietta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568690832
Provider Enumeration Date: 06/25/2009
Last Update Date: 05/17/2024

Medicare PECOS Information:

PECOS PAC ID: 8426103045
Enrollment ID: I20090903000486

Medical Identifiers

Medical identifiers for Dr Kenneth Pak Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568690832	NPI	-	NPPES
P00826857	Other	OR	RAILROAD MEDICARE
500612003	Medicaid	OR
8552531	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	MD29309 (Oregon)	Secondary
207L00000X	Anesthesiology	97909 (Georgia)	Primary

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 Kenneth Pak Kim allows following entities to bill medicare on his behalf.

Entity Name	Oregon Anesthesiology Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477527786 PECOS PAC ID: 3476451659 Enrollment ID: O20031226000058

Entity Name	Kaiser Foundation Health Plan Of The Northwest
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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 Kenneth Pak 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 Kenneth Pak Kim, MD 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 Ph: (470) 644-1274	Dr Kenneth Pak Kim, MD 2540 Windy Hill Rd Se, Marietta, GA 30067-8605 Ph: (470) 644-1274

Reviews and Comments

Anesthesiology Doctors in Marietta, GA

Donald R Taylor, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 840 Church Street, Suite B, Marietta, GA 30060 Phone: 770-421-8080 Fax: 770-421-9566
Ashkan Yazdanpanah, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
Thomas M Adair, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477
Dr. William Shearin Jr., M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4048 Penhurst Dr, Marietta, GA 30062 Phone: 770-579-3650
Alson Mercurius, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 677 Church St Ne, Marietta, GA 30060 Phone: 770-794-0477 Fax: 770-794-3108
John G Porter, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 790 Church St Ne, Suite 550, Marietta, GA 30060 Phone: 770-419-9902 Fax: 770-419-7457
James E. Warren, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 780 Canton Road, Suite 100, Marietta, GA 30060 Phone: 678-574-0943 Fax: 678-574-0943

Dr Kenneth Pak Kim, MD - Medicare Anesthesiology in Marietta, GA