Il H Kim, MD | |
100 Jackson Pike, Gallipolis, OH 45631-1560 | |
(740) 446-5371 | |
(740) 446-5711 |
Full Name | Il H Kim |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 43 Years |
Location | 100 Jackson Pike, Gallipolis, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396782314 | NPI | - | NPPES |
370002076 | Other | RR MEDICARE | |
000000007508 | Other | ANTHEM BCBS | |
000000181964 | Other | OH | UNISON MEDICAID |
001714043 | Other | MOUNTAIN STATE BCBS | |
0556161 | Medicaid | OH | |
0112618000 | Medicaid | WV | |
310917085107 | Other | OH | CARESOURCE MEDICAID |
000000006612 | Other | WV | ANTHEM BCBS |
0556161 | Other | OH | MOLINA MEDICAID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 15264 (West Virginia) | Secondary |
208000000X | Pediatrics | 35.050817 (Ohio) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Holzer Clinic Llc | 5890606008 | 264 |
Holzer Clinic Llc | 5890606008 | 264 |
Entity Name | Holzer Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20040517000510 |
Mailing Address | Practice Location Address |
---|---|
Il H Kim, MD 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371 | Il H Kim, MD 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5371 |
Jon M. Sullivan, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Jonathan Mathis, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711 | |
Mr. Jacob Lawrence Pessia, MS IV Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-441-1949 Fax: 740-446-5982 | |
Shana Allie Vore, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 855-446-5937 Fax: 740-446-5711 | |
Pradeep K. Kandula, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 | |
Danielle T. Cappelletti, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Jackson Pike, Gallipolis, OH 45631 Phone: 740-446-5371 Fax: 740-446-5711 |