Jiyoun E Kim, MD - Medicare General Surgery in Salem, OR

Jiyoun E Kim, MD is a medicare enrolled "Surgery" physician in Salem, Oregon. She went to University Of Texas Medical Branch At Galveston and graduated in 2000 and has 24 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Salem Clinic, Pc and her current practice location is 2020 Capitol St Ne, Salem, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 399-2470.

Jiyoun E Kim is licensed to practice in Oregon (license number MD27016) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053400713.

Contact Information

Jiyoun E Kim, MD
2020 Capitol St Ne,
Salem, OR 97301-0644
(503) 399-2470
(503) 375-7429

Map and Direction




Physician's Profile

Full NameJiyoun E Kim
GenderFemale
SpecialityGeneral Surgery
Experience24 Years
Location2020 Capitol St Ne, Salem, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jiyoun E Kim attended and graduated from University Of Texas Medical Branch At Galveston in 2000
  NPI Data:
  • NPI Number: 1053400713
  • Provider Enumeration Date: 10/12/2006
  • Last Update Date: 05/24/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 2860402245
  • Enrollment ID: I20061117000493

Medical Identifiers

Medical identifiers for Jiyoun E Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053400713NPI-NPPES
P00378192OtherRAILROAD MEDICARE
CS4159OtherRAILROAD GROUP
240491MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery MD27016 (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Salem HospitalSalem, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Salem Clinic, Pc751795451487

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. Jiyoun E Kim allows following entities to bill medicare on her behalf.
Entity NameSalem Clinic, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912935594
PECOS PAC ID: 7517954514
Enrollment ID: O20040430000150

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. Jiyoun 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 AddressPractice Location Address
Jiyoun E Kim, MD
Po Box 8100,
Salem, OR 97303-0900

Ph: (503) 399-2470
Jiyoun E Kim, MD
2020 Capitol St Ne,
Salem, OR 97301-0644

Ph: (503) 399-2470

Reviews and Comments


Surgery Doctors in Salem, OR

Mark Steven Peterson, MD
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Phone: 503-561-7227    Fax: 503-671-8334
Dr. Peter Augusto Bernardo, M.D
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Eric A Laro, MD
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Dr. Patrick O'herron, M.D.
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Practice Location: 890 Oak St Se, Salem, OR 97301
Phone: 503-561-5200    
Dr. Rick Dewitt Pittman, MD
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Practice Location: 1793 13th St Se, Salem, OR 97302
Phone: 503-362-8385    Fax: 503-362-8435
Dr. Elizabeth Maryann Windell, D.O.
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Medicare: Accepting Medicare Assignments
Practice Location: 665 Winter St Se, Salem, OR 97301
Phone: 503-561-2448    

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.