Kyu-han Kim, DO is a medicare enrolled "Family Medicine" physician in Cliffisde Park, New Jersey. He went to Rowan University School Of Osteopathic Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Bon Secours Charity Health System Medical Group, P.c. and his current practice location is
1 Towne Centre Drive, Cliffisde Park, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(512) 343-0405.
Kyu-han Kim is licensed to practice in New York (license number 251600) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1215174941.
Physician's Profile
Full Name | Kyu-han Kim |
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Gender | Male |
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Speciality | Internal Medicine |
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Experience | 18 Years |
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Location | 1 Towne Centre Drive, Cliffisde Park, New Jersey |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Kyu-han Kim attended and graduated from Rowan University School Of Osteopathic Medicine in 2006
NPI Data:
- NPI Number: 1215174941
- Provider Enumeration Date: 01/16/2009
- Last Update Date: 04/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971782780
- Enrollment ID: I20110126000469
Medical Identifiers
Medical identifiers for Kyu-han Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215174941 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 251600 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Bon Secours Charity Health System Medical Group, P.c. | 1658262084 | 148 |
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. Kyu-han Kim allows following entities to bill medicare on his behalf.
Entity Name | Bon Secours Charity Health System Medical Group, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487694345 PECOS PAC ID: 1658262084 Enrollment ID: O20040323001971 |
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Entity Name | Brookview Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871965855 PECOS PAC ID: 9537420450 Enrollment ID: O20180309000532 |
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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. Kyu-han 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 |
Kyu-han Kim, DO 1 Towne Centre Drive, Cliffisde Park, NJ 07010-1617 Ph: (551) 234-3040 | Kyu-han Kim, DO 1 Towne Centre Drive, Cliffisde Park, NJ 07010 Ph: (512) 343-0405 |
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