Peter Seihwan Kim, MD is a medicare enrolled "Plastic Surgery - Surgery Of The Hand" physician in Waltham, Massachusetts. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Boston Sports And Shoulder Center, Llc and his current practice location is
840 Winter St, Waltham, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(781) 890-2133.
Peter Seihwan Kim is licensed to practice in Massachusetts (license number 249412) 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 1174655914.
Physician's Profile
Full Name | Peter Seihwan Kim |
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Gender | Male |
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Speciality | Plastic And Reconstructive Surgery |
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Experience | 22 Years |
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Location | 840 Winter St, Waltham, Massachusetts |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Peter Seihwan Kim graduated from medical school in 2003
NPI Data:
- NPI Number: 1174655914
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 10/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810167863
- Enrollment ID: I20110830000244
Medical Identifiers
Medical identifiers for Peter Seihwan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174655914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2082S0105X | Plastic Surgery - Surgery Of The Hand | 249412 (Massachusetts) | Primary |
208200000X | Plastic Surgery | 249412 (Massachusetts) | Secondary |
208200000X | Plastic Surgery | 336078195 (Illinois) | Secondary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Boston Sports And Shoulder Center, Llc | 4587671110 | 37 |
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. Peter Seihwan Kim allows following entities to bill medicare on his behalf.
Entity Name | Atrius Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871639914 PECOS PAC ID: 4789588641 Enrollment ID: O20031121000582 |
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Entity Name | Boston Sports & Shoulder Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437184165 PECOS PAC ID: 4587671110 Enrollment ID: O20060307000610 |
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Entity Name | Northeast Orthopaedic Alliance Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1417724170 PECOS PAC ID: 5991149809 Enrollment ID: O20240220000683 |
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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. Peter Seihwan 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 |
Peter Seihwan Kim, MD 133 Brookline Ave, Boston, MA 02215-3904 Ph: (617) 654-7111 | Peter Seihwan Kim, MD 840 Winter St, Waltham, MA 02451-1433 Ph: (781) 890-2133 |
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