Hyong Tae Kim, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Salt Lake City, Utah. He went to University Of Nevada School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Colorectal Surgery (proctology). He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is
324 10th Ave, Ste 100, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 408-7660.
Hyong Tae Kim is licensed to practice in Utah (license number 5701427-1205) 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 1427236082.
Physician's Profile
| Full Name | Hyong Tae Kim |
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| Gender | Male |
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| Speciality | Colorectal Surgery (proctology) |
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| Experience | 22 Years |
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| Location | 324 10th Ave, Salt Lake City, Utah |
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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:
- Hyong Tae Kim attended and graduated from University Of Nevada School Of Medicine in 2002
NPI Data:
- NPI Number: 1427236082
- Provider Enumeration Date: 02/06/2008
- Last Update Date: 10/13/2014
Medicare PECOS Information:
- PECOS PAC ID: 3577630086
- Enrollment ID: I20080925000419
Medical Identifiers
Medical identifiers for Hyong Tae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1427236082 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 5701427-1205 (Utah) | Secondary |
| 208C00000X | Colon & Rectal Surgery | 5701427-1205 (Utah) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Intermountain Healthcare Services, Inc | 1850209420 | 3228 |
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. Hyong Tae Kim allows following entities to bill medicare on his behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079 |
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| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942325154
PECOS PAC ID: 1850209420
Enrollment ID: O20080610000303 |
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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. Hyong Tae 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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Hyong Tae Kim, MD
Po Box 27128,
Salt Lake City, UT 84127-0128
Ph: (801) 408-7660 | Hyong Tae Kim, MD
324 10th Ave, Ste 100,
Salt Lake City, UT 84103-2853
Ph: (801) 408-7660 |
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