Dr Sung Deuk Kim, MD is a medicare enrolled "Hospitalist" physician in Altus, Oklahoma. His current practice location is
1200 E Pecan St, Altus, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 379-5000.
Dr Sung Deuk Kim is licensed to practice in Oklahoma (license number 41286) 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 1003434101.
Physician's Profile
Full Name | Dr Sung Deuk Kim |
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Gender | Male |
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Speciality | Hospitalist |
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Location | 1200 E Pecan St, Altus, Oklahoma |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1003434101
- Provider Enumeration Date: 07/06/2020
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 0446614531
- Enrollment ID: I20230907002293
Medical Identifiers
Medical identifiers for Dr Sung Deuk Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003434101 | NPI | - | NPPES |
201183700A | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 41286 (Oklahoma) | Secondary |
208M00000X | Hospitalist | 41286 (Oklahoma) | 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 Sung Deuk Kim allows following entities to bill medicare on his behalf.
Entity Name | Jackson County Memorial Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093763781 PECOS PAC ID: 1759293178 Enrollment ID: O20031104000406 |
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Entity Name | Hmrok Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790472256 PECOS PAC ID: 7517329170 Enrollment ID: O20230814001881 |
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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 Sung Deuk 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 Sung Deuk Kim, MD 1200 E Pecan St, Altus, OK 73521-6141 Ph: (951) 380-5286 | Dr Sung Deuk Kim, MD 1200 E Pecan St, Altus, OK 73521-6192 Ph: (580) 379-5000 |
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