Dr Soo Kim, MD | |
9200 W Wisconsin Ave, Dept Of Anesthesiology, Milwaukee, WI 53226-3522 | |
(414) 805-8700 | |
(414) 259-1522 |
Full Name | Dr Soo Kim |
---|---|
Gender | Female |
Speciality | Anesthesiology |
Experience | 16 Years |
Location | 9200 W Wisconsin Ave, Milwaukee, Wisconsin |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316100480 | NPI | - | NPPES |
1316100480 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 2012-01074 (North Carolina) | Secondary |
207L00000X | Anesthesiology | 62215 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Boulder Community Health | Boulder, CO | Hospital |
Longs Peak Hospital | Longmont, CO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Boulder Valley Anesthesiology, Pllc | 7113830993 | 54 |
Entity Name | Boulder Valley Anesthesiology, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962431668 PECOS PAC ID: 7113830993 Enrollment ID: O20031107000375 |
Mailing Address | Practice Location Address |
---|---|
Dr Soo Kim, MD 9200 W Wisconsin Ave, Dept Of Anesthesiology, Milwaukee, WI 53226-3522 Ph: (414) 805-8700 | Dr Soo Kim, MD 9200 W Wisconsin Ave, Dept Of Anesthesiology, Milwaukee, WI 53226-3522 Ph: (414) 805-8700 |
Dr. Jeffrey T Lyvers, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000 | |
Dr. Nosheen Hasan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7235 W Appleton Ave, Sutie 102, Milwaukee, WI 53216 Phone: 414-444-8670 Fax: 414-444-8678 | |
Dr. Quinn Hogan, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Anesthesiology, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522 | |
Dr. Stephen R Thompson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2025 E Newport Ave, Milwaukee, WI 53211 Phone: 414-961-3300 | |
Dr. Christina D Diaz, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Anesthesiology, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522 | |
Dr. John V Selthafner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522 | |
Anne M Fagan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10200 W Innovation Dr, Milwaukee, WI 53226 Phone: 414-302-9196 |