Michelle A Kim, MD | |
880 Alder Ave, Incline Village, NV 89451-8335 | |
(775) 831-6200 | |
Not Available |
Full Name | Michelle A Kim |
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Gender | Female |
Speciality | Family Medicine |
Location | 880 Alder Ave, Incline Village, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801982343 | NPI | - | NPPES |
00A811490 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | A81149 (California) | Primary |
Entity Name | Eastern Plumas Health Care District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245236850 PECOS PAC ID: 4587576889 Enrollment ID: O20050329001076 |
Entity Name | Tahoe Forest Hospital District |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750412300 PECOS PAC ID: 0446161335 Enrollment ID: O20050329001397 |
Mailing Address | Practice Location Address |
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Michelle A Kim, MD 880 Alder Ave Fl 2, Incline Village, NV 89451-8335 Ph: (775) 831-6600 | Michelle A Kim, MD 880 Alder Ave, Incline Village, NV 89451-8335 Ph: (775) 831-6200 |
Dr. Johanna Koch, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 889 Alder Ave. #203, Incline Village, NV 89451 Phone: 775-832-5200 Fax: 775-832-5205 | |
Marshall W Clyde, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 880 Alder Ave Fl 2, Incline Village, NV 89451 Phone: 775-831-6200 | |
Dr. Timothy Joseph Heilman, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 995 Tahoe Blvd, Suite 301, Incline Village, NV 89451 Phone: 775-833-2929 Fax: 775-833-0277 | |
Peter A Hanson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 Tahoe Blvd, Suite 207, Incline Village, NV 89451 Phone: 775-833-2929 Fax: 775-833-0277 |