Dr Young C Kim, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Middleburg Heights, Ohio. His current practice location is
18697 Bagley Road, Middleburg Heights, Ohio. You can reach out to his office (for appointments etc.) via phone at
(440) 816-8770.
Dr Young C Kim is licensed to practice in Ohio (license number 35.045848) 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 1306846167.
Physician's Profile
| Full Name | Dr Young C Kim |
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| Gender | Male |
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| Speciality | Radiology - Diagnostic Radiology |
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| Location | 18697 Bagley Road, Middleburg Heights, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1306846167
- Provider Enumeration Date: 07/22/2005
- Last Update Date: 09/03/2009
Medicare PECOS Information:
- PECOS PAC ID: 6901798727
- Enrollment ID: I20100309000138
Medical Identifiers
Medical identifiers for Dr Young C Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306846167 | NPI | - | NPPES |
| 000000341983 | Other | OH | BC/BS INDIVIDUAL PIN NO |
| 000000559893 | Other | OH | ANTHEM |
| 000000234730 | Other | OH | UNISON |
| 0304914 | Other | OH | BCMH |
| 0448359 | Medicaid | OH | |
| P00600868 | Other | OH | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 35045848 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 35.045848 (Ohio) | 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 Young C Kim allows following entities to bill medicare on his behalf.
| Entity Name | Ctca Physicians Group Of Arizona Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609026806
PECOS PAC ID: 2264593474
Enrollment ID: O20081205000793 |
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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 Young C 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 Young C Kim, MD
5655 Hudson Drive, Suite 210,
Hudson, OH 44236-4451
Ph: (330) 655-3800 | Dr Young C Kim, MD
18697 Bagley Road,
Middleburg Heights, OH 44130-3417
Ph: (440) 816-8770 |
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