Kihyun Kim, DO is a medicare enrolled "Emergency Medicine" physician in Fort Irwin, California. His current practice location is
Barstow Street, Bldg 166, Fort Irwin, California. You can reach out to his office (for appointments etc.) via phone at
(760) 380-3114.
Kihyun Kim is licensed to practice in California (license number 20A9251) 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 1689637506.
Physician's Profile
Full Name | Kihyun Kim |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | Barstow Street, Fort Irwin, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689637506
- Provider Enumeration Date: 04/11/2006
- Last Update Date: 05/11/2017
Medicare PECOS Information:
- PECOS PAC ID: 7618049982
- Enrollment ID: I20080701000378
Medical Identifiers
Medical identifiers for Kihyun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689637506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 36112639 (Illinois) | Secondary |
207P00000X | Emergency Medicine | 20A9251 (California) | 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. Kihyun Kim allows following entities to bill medicare on his behalf.
Entity Name | Sunshine Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649725466 PECOS PAC ID: 3072893460 Enrollment ID: O20161130001458 |
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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. Kihyun 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 |
Kihyun Kim, DO 53 Haviland, Irvine, CA 92620-2196 Ph: (760) 380-2800 | Kihyun Kim, DO Barstow Street, Bldg 166, Fort Irwin, CA 92310 Ph: (760) 380-3114 |
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