Ki-bong Um, MD is a
General Practice physician based in Robersonville, North Carolina. Ki-bong Um is licensed to practice in North Carolina (license number 25751) and his current practice location is 501 N Main St, Robersonville, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(252) 795-4192.
NPI number for Ki-bong Um is 1336195692 and his current mailing address is 501 N Main St, Po Box 625, Robersonville, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336195692.
Physician's Profile
| Full Name | Ki-bong Um |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 501 N Main St, Robersonville, North Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336195692
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 11/30/2009
Medical Identifiers
Medical identifiers for Ki-bong Um such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336195692 | NPI | - | NPPES |
| 84530 | Other | NC | BC |
| 8984530 | Medicaid | NC | |
| 20503 | Other | NC | CIGNA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 25751 (North Carolina) | 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. Ki-bong Um is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ki-bong Um, MD
501 N Main St, Po Box 625,
Robersonville, NC 27871-9567
Ph: (252) 795-4192 | Ki-bong Um, MD
501 N Main St,
Robersonville, NC 27871-9567
Ph: (252) 795-4192 |
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