Julian A Kim, MD | |
2 Medical Park Rd Ste 300, Columbia, SC 29203-6839 | |
(803) 545-5800 | |
Not Available |
Full Name | Julian A Kim |
---|---|
Gender | Male |
Speciality | Surgical Oncology |
Experience | 38 Years |
Location | 2 Medical Park Rd Ste 300, Columbia, South Carolina |
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 |
---|---|---|---|
1346268497 | NPI | - | NPPES |
525024 | Medicaid | SC | |
P00412262 | Other | OH | RAILROAD MEDICARE |
000000503706 | Other | ANTHEM | |
750702 | Other | OH | BUCKEYE |
000000221288 | Other | OH | UNISON |
0968734 | Medicaid | OH | |
363702 | Other | OH | WELLCARE |
4459836 | Other | AETNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086X0206X | Surgery - Surgical Oncology | 52502 (South Carolina) | Primary |
208600000X | Surgery | 52502 (South Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Prisma Health Baptist | Columbia, SC | Hospital |
Prisma Health Richland Hospital | Columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Prisma Health Medical Group-midlands | 5991099707 | 881 |
Entity Name | Prisma Health Medical Group-midlands |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
---|---|
Julian A Kim, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Julian A Kim, MD 2 Medical Park Rd Ste 300, Columbia, SC 29203-6839 Ph: (803) 545-5800 |
Michael David Tichenor, MD Surgery Medicare: Medicare Enrolled Practice Location: Surgery Clinic, 1801 Sunset Drive, Columbia, SC 29203 Phone: 803-434-4166 Fax: 803-434-4183 | |
Ms. Taylor C Dieter, DNP, NP-C Surgery Medicare: Accepting Medicare Assignments Practice Location: 220 Graces Way, Columbia, SC 29229 Phone: 180-373-64560 | |
David Deaton, Surgery Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd Ste 300, Columbia, SC 29203 Phone: 803-545-5800 Fax: 803-254-0821 | |
Dr. Ginger Lynne Manos, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3 Richland Medical Park Dr Ste 330, Columbia, SC 29203 Phone: 803-434-7100 Fax: 803-434-6889 | |
Dr. William Mciver Leppard, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2750 Laurel St Ste 200, Columbia, SC 29204 Phone: 803-409-7130 Fax: 803-252-8280 | |
Dalton Shuler Prickett, M.D. F.A.C.S. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1850 Laurel St, Columbia, SC 29201 Phone: 803-256-3400 Fax: 803-256-2039 | |
Dr. David Douglas Moffat Ii, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1850 Laurel St Ste 1a, Columbia, SC 29201 Phone: 803-376-5982 Fax: 803-376-5987 |