Mary T Kim, MD in Shreveport, LA - Medicare Plastic And Reconstructive Surgery

Mary T Kim, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Shreveport, Louisiana. She went to Tufts University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. She is a member of the group practice Bundrick And O'neal Plastic Surgery (amc) and her current practice location is 1501 Kings Hwy, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 675-6154.

Mary T Kim is licensed to practice in Louisiana (license number MD200563) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033192828.

Contact Information

	Mary T Kim, MD
	1501 Kings Hwy, Shreveport, LA 71103-4228
	(318) 675-6154
	Not Available

Map and Direction

Physician's Profile

Full Name	Mary T Kim
Gender	Female
Speciality	Plastic And Reconstructive Surgery
Experience	27 Years
Location	1501 Kings Hwy, Shreveport, Louisiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mary T Kim attended and graduated from Tufts University School Of Medicine in 1997

NPI Data:

NPI Number: 1033192828
Provider Enumeration Date: 11/25/2005
Last Update Date: 05/18/2009

Medicare PECOS Information:

PECOS PAC ID: 7618991316
Enrollment ID: I20060120000623

Medical Identifiers

Medical identifiers for Mary T Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033192828	NPI	-	NPPES
1581518	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0122X	Surgery - Plastic And Reconstructive Surgery	MD200563 (Louisiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bundrick And O'neal Plastic Surgery (amc)	4082739107	3

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. Mary T Kim allows following entities to bill medicare on her behalf.

Entity Name	Louisiana State University Health Sciences Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417992249 PECOS PAC ID: 6103730908 Enrollment ID: O20031208000275

Entity Name	Bundrick And O'neal Plastic Surgery (amc)
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093776429 PECOS PAC ID: 4082739107 Enrollment ID: O20100914000105

Entity Name	Lsu Health Sciences Center Shreveport Faculty Group Practice
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013374222 PECOS PAC ID: 4082902721 Enrollment ID: O20161012000307

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. Mary T 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
Mary T Kim, MD 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 675-6154	Mary T Kim, MD 1501 Kings Hwy, Shreveport, LA 71103-4228 Ph: (318) 675-6154

Reviews and Comments

Surgery Doctors in Shreveport, LA

James R Barnes, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1455 E Bert Koun Loop, Suite #105, Shreveport, LA 71105 Phone: 318-798-4433 Fax: 318-798-4432
Dr. Paul E Perkowski, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000 Fax: 318-629-4833
Dr. James Booth Burke, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1202 Louisiana Avenue, Shreveport, LA 71101 Phone: 318-212-8780 Fax: 318-212-6752
Jennifer Kim, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1501 Kings Hwy, Surgery, Shreveport, LA 71103 Phone: 318-675-2655
Dr. Terry Lairmore, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Dr. Mark H Smith, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2751 Albert L Bicknell Dr, Suite 3d, Shreveport, LA 71103 Phone: 318-212-4799 Fax: 318-424-3642

Mary T Kim, MD - Medicare Plastic And Reconstructive Surgery in Shreveport, LA