Dr Sam Y Kim, MD | |
1919 Lathrop St, Ste 103, Fairbanks, AK 99701-5937 | |
(907) 456-7768 | |
(907) 456-4045 |
Full Name | Dr Sam Y Kim |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 26 Years |
Location | 1919 Lathrop St, Fairbanks, Alaska |
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 |
---|---|---|---|
1851454615 | NPI | - | NPPES |
MD0304 | Medicaid | AK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 5779 (Alaska) | Primary |
207Y00000X | Otolaryngology | 01051686A (Indiana) | Secondary |
207Y00000X | Otolaryngology | A99387 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Fairbanks Memorial Hospital | Fairbanks, AK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ear Nose And Throat Clinic Inc | 2860384484 | 4 |
Entity Name | Ear Nose & Throat Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023179587 PECOS PAC ID: 2860384484 Enrollment ID: O20040329000276 |
Mailing Address | Practice Location Address |
---|---|
Dr Sam Y Kim, MD 1919 Lathrop St, Ste 103, Fairbanks, AK 99701-5937 Ph: (907) 456-7768 | Dr Sam Y Kim, MD 1919 Lathrop St, Ste 103, Fairbanks, AK 99701-5937 Ph: (907) 456-7768 |
Thomas H Hammond, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 1919 Lathrop St. Ste 103, Fairbanks, AK 99701 Phone: 907-456-7768 Fax: 907-456-4045 | |
Dr. Richard P Raugust, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St., Ste 103, Fairbanks, AK 99701 Phone: 907-456-7768 Fax: 907-456-4045 | |
Dr. Eric Michael Tallan, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 1919 Lathrop St., Ste 207, Fairbanks, AK 99701 Phone: 907-456-7768 |