Dr Tae Sun Kim, MD is a medicare enrolled "Ophthalmology" physician in Cerritos, California. He went to Tufts University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
11829 South St, Suite 202, Cerritos, California. You can reach out to his office (for appointments etc.) via phone at
(562) 402-4720.
Dr Tae Sun Kim is licensed to practice in California (license number G81760) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1366578049.
Physician's Profile
| Full Name | Dr Tae Sun Kim |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 34 Years |
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| Location | 11829 South St, Cerritos, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Tae Sun Kim attended and graduated from Tufts University School Of Medicine in 1990
NPI Data:
- NPI Number: 1366578049
- Provider Enumeration Date: 02/26/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7911997721
- Enrollment ID: I20040515000441
Medical Identifiers
Medical identifiers for Dr Tae Sun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366578049 | NPI | - | NPPES |
| GR0091370 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | G81760 (California) | 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 Tae Sun Kim allows following entities to bill medicare on his behalf.
| Entity Name | Cerritos Eye Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598792889
PECOS PAC ID: 2567452378
Enrollment ID: O20040513001576 |
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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 Tae Sun 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 |
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Dr Tae Sun Kim, MD
11829 South St, Suite 202,
Cerritos, CA 90703-6828
Ph: (562) 402-4720 | Dr Tae Sun Kim, MD
11829 South St, Suite 202,
Cerritos, CA 90703-6828
Ph: (562) 402-4720 |
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