Michael Minjun Kim, DO - Medicare Family Practice in Riverhead, NY

Michael Minjun Kim, DO is a medicare enrolled "Family Medicine" physician in Riverhead, New York. He went to Philadelphia College Of Osteopathic Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Central Suffolk Hospital, North Shore Lij Urgent Care Pc and his current practice location is 1300 Roanoke Ave, Riverhead, New York. You can reach out to his office (for appointments etc.) via phone at (631) 548-6000.

Michael Minjun Kim is licensed to practice in New York (license number 292970) 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 1891172722.

Contact Information

Michael Minjun Kim, DO
1300 Roanoke Ave,
Riverhead, NY 11901
(631) 548-6000
Not Available

Map and Direction




Physician's Profile

Full NameMichael Minjun Kim
GenderMale
SpecialityFamily Practice
Experience9 Years
Location1300 Roanoke Ave, Riverhead, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Minjun Kim attended and graduated from Philadelphia College Of Osteopathic Medicine in 2015
  NPI Data:
  • NPI Number: 1891172722
  • Provider Enumeration Date: 04/29/2015
  • Last Update Date: 06/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 1254689276
  • Enrollment ID: I20180808001681

Medical Identifiers

Medical identifiers for Michael Minjun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1891172722NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 292970 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Central Suffolk Hospital498150808261
North Shore Lij Urgent Care Pc6002131778312

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. Michael Minjun Kim allows following entities to bill medicare on his behalf.
Entity NameCentral Suffolk Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043402050
PECOS PAC ID: 4981508082
Enrollment ID: O20031120000840
Entity NamePeconic Bay Primary Medical Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487620613
PECOS PAC ID: 7113817602
Enrollment ID: O20040318000260
Entity NameHuntington Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386619385
PECOS PAC ID: 1850296427
Enrollment ID: O20040426001035
Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262
Entity NameNorth Shore Lij Urgent Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679970891
PECOS PAC ID: 6002131778
Enrollment ID: O20150223000060

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. Michael Minjun 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 AddressPractice Location Address
Michael Minjun Kim, DO
1300 Roanoke Ave,
Riverhead, NY 11901-2031

Ph: (631) 548-6000
Michael Minjun Kim, DO
1300 Roanoke Ave,
Riverhead, NY 11901

Ph: (631) 548-6000

Reviews and Comments


Family Medicine Doctors in Riverhead, NY

Amanda I Sukhu, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 905 E Main St, Riverhead, NY 11901
Phone: 631-632-2428    
Blaise C. Napolitano, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 34 Commerce Ave, Riverhead, NY 11901
Phone: 631-727-1600    Fax: 631-727-8320
Joy H. Curran, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 800 Old Country Rd, Riverhead, NY 11901
Phone: 631-228-5565    Fax: 631-396-6874
Tanzia Afrin Chowdhury, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 715 Roanoke Ave Ste 3, Riverhead, NY 11901
Phone: 631-963-4770    
Christopher Fecek, MD, MS
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 34 Commerce Ave, Riverhead, NY 11901
Phone: 631-727-1600    Fax: 631-727-8320
Vishnudat Seodat, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 31 Main Rd, Suite 1, Riverhead, NY 11901
Phone: 631-722-4400    Fax: 631-722-4426
Mette Larsen, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2248 Roanoke Ave, Riverhead, NY 11901
Phone: 917-572-9745    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.