Dr Sang Won Dacri-kim, DO | |
1970 Tamarack Rd., Newark, OH 43055 | |
(740) 344-2452 | |
(740) 522-7305 |
Full Name | Dr Sang Won Dacri-kim |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 34 Years |
Location | 1970 Tamarack Rd., Newark, Ohio |
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 |
---|---|---|---|
1043385529 | NPI | - | NPPES |
2028577 | Medicaid | OH | |
P00397004 | Other | OH | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 34006602 (Ohio) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 34006602 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ashtabula County Medical Center | Ashtabula, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ashtabula County Medical Center | 2668465600 | 65 |
Entity Name | Ashtabula County Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942247143 PECOS PAC ID: 2668465600 Enrollment ID: O20040406000897 |
Mailing Address | Practice Location Address |
---|---|
Dr Sang Won Dacri-kim, DO 1970 Tamarack Rd., Newark, OH 43055 Ph: (740) 344-2452 | Dr Sang Won Dacri-kim, DO 1970 Tamarack Rd., Newark, OH 43055 Ph: (740) 344-2452 |
Dr. William H Phillips, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1371 West Main Street, Newark, OH 43055 Phone: 220-564-1965 Fax: 220-564-1966 | |
Dr. Larry Pasley, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1272 W Main St, Bldg. 3, Newark, OH 43055 Phone: 740-348-1880 Fax: 740-348-1881 | |
Dr. Brent M Savage, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Messimer Dr, Newark, OH 43055 Phone: 220-564-1880 Fax: 220-564-1881 | |
Mr. John Marvin Mitchell, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 30 Messimer Dr, Newark, OH 43055 Phone: 220-564-1880 Fax: 220-564-1881 | |
Ahmed F. Kandeel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1272 West Main Street, Suite 302, Newark, OH 43055 Phone: 220-564-1880 Fax: 220-564-1881 | |
Dr. Alex D Juan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1970 Tamarack Rd, Newark, OH 43055 Phone: 740-344-2452 Fax: 740-344-7305 |