Kyu-jin Kim, MD is a medicare enrolled "General Practice" physician in Manlius, New York. His current practice location is
7575 Firebird Lane, Manlius, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 682-7185.
Kyu-jin Kim is licensed to practice in New York (license number 123715) 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 1215289491.
Physician's Profile
Full Name | Kyu-jin Kim |
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Gender | Male |
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Speciality | General Practice |
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Location | 7575 Firebird Lane, Manlius, New York |
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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: 1215289491
- Provider Enumeration Date: 10/11/2012
- Last Update Date: 10/11/2012
Medicare PECOS Information:
- PECOS PAC ID: 9638468234
- Enrollment ID: I20160521000086
Medical Identifiers
Medical identifiers for Kyu-jin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215289491 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 123715 (New York) | 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. Kyu-jin 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-jin Kim, MD 7575 Firebird Lane, Manlius, NY 13104 Ph: (315) 682-7185 | Kyu-jin Kim, MD 7575 Firebird Lane, Manlius, NY 13104-9334 Ph: (315) 682-7185 |
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