Jae Suk Kim, MD - Medicare Pediatrics in St Clair Shores, MI

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Jae Suk Kim, MD is a medicare enrolled "Pediatrics" physician in St Clair Shores, Michigan. His current practice location is 24025 Greater Mack, Suite 103, St Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at (586) 777-8280.

Jae Suk Kim is licensed to practice in Michigan (license number 4301033045) 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 1790899755.

Contact Information

Jae Suk Kim, MD
24025 Greater Mack, Suite 103,
St Clair Shores, MI 48080
(586) 777-8280
(586) 777-8688

Map and Direction




Physician's Profile

Full NameJae Suk Kim
GenderMale
SpecialityPediatrics
Location24025 Greater Mack, St Clair Shores, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1790899755
  • Provider Enumeration Date: 08/18/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3971821406
  • Enrollment ID: I20150414000984

Medical Identifiers

Medical identifiers for Jae Suk Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790899755NPI-NPPES
1947637MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 4301033045 (Michigan)Primary

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. Jae Suk 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 AddressPractice Location Address
Jae Suk Kim, MD
24025 Greater Mack, Suite 103,
St Clair Shores, MI 48080

Ph: (586) 777-8280		Jae Suk Kim, MD
24025 Greater Mack, Suite 103,
St Clair Shores, MI 48080

Ph: (586) 777-8280

Reviews and Comments


Pediatrics Doctors in St Clair Shores, MI


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.