Moon Joo Kim, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Pocatello, Idaho. Her current practice location is
2431 Andrew St, Pocatello, Idaho. You can reach out to her office (for appointments etc.) via phone at
(281) 798-2210.
Moon Joo Kim is licensed to practice in Idaho (license number M-17400) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1255825469.
Physician's Profile
Full Name | Moon Joo Kim |
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Gender | Female |
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Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
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Location | 2431 Andrew St, Pocatello, Idaho |
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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: 1255825469
- Provider Enumeration Date: 06/20/2018
- Last Update Date: 05/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557803715
- Enrollment ID: I20240604001797
Medical Identifiers
Medical identifiers for Moon Joo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1255825469 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | M-17400 (Idaho) | 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. Moon Joo 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 |
Moon Joo Kim, MD 2431 Andrew St, Pocatello, ID 83201-8000 Ph: () - | Moon Joo Kim, MD 2431 Andrew St, Pocatello, ID 83201-8000 Ph: (281) 798-2210 |
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