Jong Moon Kim, MD in Dallas, TX - Medicare Emergency Medicine

Jong Moon Kim, MD is a medicare enrolled "Emergency Medicine" physician in Dallas, Texas. His current practice location is 12221 Merit Dr, Suite 1610, Dallas, Texas. You can reach out to his office (for appointments etc.) via phone at (214) 217-1911.

Jong Moon Kim is licensed to practice in Texas (license number N0167) 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 1508070145.

Contact Information

	Jong Moon Kim, MD
	12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202
	(214) 217-1911
	Not Available

Map and Direction

Physician's Profile

Full Name	Jong Moon Kim
Gender	Male
Speciality	Emergency Medicine
Location	12221 Merit Dr, Dallas, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508070145
Provider Enumeration Date: 05/10/2007
Last Update Date: 01/18/2013

Medicare PECOS Information:

PECOS PAC ID: 4183794894
Enrollment ID: I20080607000150

Medical Identifiers

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

Identifier	Type	State	Issuer
1508070145	NPI	-	NPPES
2847807	Medicaid	OH
8BZ579	Other	TX	BCBS
000000560036	Other	OH	ANTHEM
195454703	Medicaid	TX
P00802534	Other	TX	RAILROAD
195454704	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	35.088399 (Ohio)	Secondary
207P00000X	Emergency Medicine	N0167 (Texas)	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. Jong Moon Kim allows following entities to bill medicare on his behalf.

Entity Name	Texas Medicine Resources, Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376581900 PECOS PAC ID: 5890688212 Enrollment ID: O20130702000785

Entity Name	Century Integrated Partners, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152

Entity Name	Jasper Emergency Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922781970 PECOS PAC ID: 9133573983 Enrollment ID: O20230927001797

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. Jong Moon 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
Jong Moon Kim, MD 13223 Torrington Drive, Frisco, TX 75035 Ph: (214) 577-2831	Jong Moon Kim, MD 12221 Merit Dr, Suite 1610, Dallas, TX 75251-2202 Ph: (214) 217-1911

Reviews and Comments

Emergency Medicine Doctors in Dallas, TX

Bradford Stager Commons, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5201 Harry Hines Blvd, House Staff & Gme, Dallas, TX 75235 Phone: 214-590-8058
Dr. Sandeep Guttikonda, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5323 Harry Hines Boulevard, Dallas, TX 75390 Phone: 214-648-3916 Fax: 214-648-8423
Jeffrey Szot, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-2667
Matthew Tice, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12221 Merit Dr, Suite 1500, Dallas, TX 75251 Phone: 214-217-1911
Dr. Renjie Michael Li, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 13737 Noel Rd, Dallas, TX 75240 Phone: 214-217-1912
Dr. Christian Brewer, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 7777 Forest Ln, Dallas, TX 75230 Phone: 972-566-7000
James Pierre D'etienne, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3500 Gaston Ave, Dallas, TX 75246 Phone: 214-820-2505 Fax: 214-712-2487

Jong Moon Kim, MD - Medicare Emergency Medicine in Dallas, TX