Jisoo Kim, in Greenville, NC - Medicare Surgery

Jisoo Kim, is a medicare enrolled "Surgery" physician in Greenville, North Carolina. His current practice location is 517 Moye Blvd, Greenville, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 744-2393.

Jisoo Kim is licensed to practice in North Carolina (license number 2022-02860) 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 1154819878.

Contact Information

	Jisoo Kim,
	517 Moye Blvd, Greenville, NC 27834-2849
	(252) 744-2393
	(252) 744-0013

Map and Direction

Physician's Profile

Full Name	Jisoo Kim
Gender	Male
Speciality	Surgery
Location	517 Moye Blvd, Greenville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154819878
Provider Enumeration Date: 04/27/2018
Last Update Date: 09/24/2024

Medicare PECOS Information:

PECOS PAC ID: 2769840529
Enrollment ID: I20230627000322

Medical Identifiers

Medical identifiers for Jisoo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154819878	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	2022-02860 (North Carolina)	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. Jisoo Kim allows following entities to bill medicare on his behalf.

Entity Name	East Carolina University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400

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. Jisoo 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
Jisoo Kim, Po Box 751069, Charlotte, NC 28275-1069 Ph: () -	Jisoo Kim, 517 Moye Blvd, Greenville, NC 27834-2849 Ph: (252) 744-2393

Reviews and Comments

Surgery Doctors in Greenville, NC

Dr. Michael W.a. Chu, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Leo Jenkins Cancer Center, Greenville, NC 27834 Phone: 252-744-4822 Fax: 252-744-9004
Dr. Yifan Guo, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 517 Moye Blvd, Ecu Physicians Plastic Surgery, Greenville, NC 27834 Phone: 252-744-5291 Fax: 252-744-5778
Shannon Wright Longshore, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457
Dr. Frances Chinenye Okolo, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457
Timothy W Mcguire, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 W Arlington Blvd, Greenville, NC 27834 Phone: 252-413-6735 Fax: 252-752-2019
David Anthony Rodeberg, MD Surgery Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2832 Fax: 252-744-3457
Dr. Simon C Moten, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Life Science Building-cardiothoracic Outpatient Clin., Greenville, NC 27834 Phone: 252-744-4822 Fax: 252-744-5192

Jisoo Kim, - Medicare Surgery in Greenville, NC