Dr Ellen E Kim, MD in Chicago, IL

Dr Ellen E Kim, MD is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Chicago, Illinois. Her current practice location is 225 E Chicago Ave # 54, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at (312) 227-6091.

Dr Ellen E Kim is licensed to practice in Illinois (license number 036109301) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1891709440.

Contact Information

	Dr Ellen E Kim, MD
	225 E Chicago Ave # 54, Chicago, IL 60611-2991
	(312) 227-6091
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Ellen E Kim
Gender	Female
Speciality	Pediatrics - Pediatric Endocrinology
Location	225 E Chicago Ave # 54, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891709440
Provider Enumeration Date: 07/28/2006
Last Update Date: 08/24/2021

Medicare PECOS Information:

PECOS PAC ID: 5092714329
Enrollment ID: I20061213000481

Medical Identifiers

Medical identifiers for Dr Ellen E Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891709440	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	2017013312 (Missouri)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	2017013312 (Missouri)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	036109301 (Illinois)	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 Ellen E Kim allows following entities to bill medicare on her behalf.

Entity Name	Washington University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194765685 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000287

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 Ellen E 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 Ellen E Kim, MD 1 Childrens Pl, Nwt 1230 Cb 8116, Saint Louis, MO 63110-1002 Ph: (314) 454-6051	Dr Ellen E Kim, MD 225 E Chicago Ave # 54, Chicago, IL 60611-2991 Ph: (312) 227-6091

Reviews and Comments

Pediatrics Doctors in Chicago, IL

Nupur Mittal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1725 W. Harrison St Suite 710, Rush University Medical Center,, Chicago, IL 60612 Phone: 312-942-5983 Fax: 312-563-2519
Dr. Gustave Falciglia, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 45, Chicago, IL 60611 Phone: 312-227-4190
Bessey Elizabeth Jose Geevarghese, DO Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 225 E Chicago Ave, Chicago, IL 60611 Phone: 630-933-6631
Bernadeta Leegan Wibisono, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2951 S King Dr Apt 1004, Chicago, IL 60616 Phone: 312-351-1346
Allie Dakroub, MD MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 5841 S Maryland Ave, Chicago, IL 60637 Phone: 773-702-1000
Ajay Bhasin, Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 251 E Huron St, Chicago, IL 60611 Phone: 312-926-5924
Kyle L Macquarrie, MD PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 225 E Chicago Ave # 30, Chicago, IL 60611 Phone: 312-227-4000

Dr Ellen E Kim, MD - Medicare Pediatrics in Chicago, IL