Mrs Soon Kim, MD is a medicare enrolled "Surgery" physician in Gardnerville, Nevada. She went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1992 and has 32 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Mesquite Clinic Management Company Llc and her current practice location is
1516 Virginia Ranch Rd, Gardnerville, Nevada. You can reach out to her office (for appointments etc.) via phone at
(775) 783-3020.
Mrs Soon Kim is licensed to practice in Nevada (license number 10696) 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 1649381153.
Physician's Profile
| Full Name | Mrs Soon Kim |
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| Gender | Female |
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| Speciality | General Surgery |
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| Experience | 32 Years |
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| Location | 1516 Virginia Ranch Rd, Gardnerville, Nevada |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Soon Kim attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1992
NPI Data:
- NPI Number: 1649381153
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 01/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 6800871179
- Enrollment ID: I20040621001553
Medical Identifiers
Medical identifiers for Mrs Soon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649381153 | NPI | - | NPPES |
| 100502384 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | 10696 (Nevada) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mesquite Clinic Management Company Llc | 8123456456 | 17 |
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. Mrs Soon Kim allows following entities to bill medicare on her behalf.
| Entity Name | Mesquite Clinic Management Company Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548800501
PECOS PAC ID: 8123456456
Enrollment ID: O20200319000698 |
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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. Mrs Soon 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 |
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Mrs Soon Kim, MD
1516 Virginia Ranch Rd,
Gardnerville, NV 89410-5794
Ph: (775) 783-3020 | Mrs Soon Kim, MD
1516 Virginia Ranch Rd,
Gardnerville, NV 89410-5794
Ph: (775) 783-3020 |
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