Peter T Kim, MD | |
167 North Main Street, Tuba City, AZ 86045-0600 | |
(928) 283-2501 | |
(928) 283-2677 |
Full Name | Peter T Kim |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 26 Years |
Location | 167 North Main Street, Tuba City, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770510984 | NPI | - | NPPES |
821702 | Medicaid | AZ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | D57469 (Maryland) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Tuba City Regional Health Care Corporation | Tuba city, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tuba City Regional Health Care Corporation | 4284542531 | 126 |
Entity Name | Tuba City Regional Health Care Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
Mailing Address | Practice Location Address |
---|---|
Peter T Kim, MD Po Box 600, 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 | Peter T Kim, MD 167 North Main Street, Tuba City, AZ 86045-0600 Ph: (928) 283-2501 |
Dr. Lena Wong, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 167 North Main Streer, Tuba City, AZ 86045 Phone: 928-283-2063 | |
Karen Yin-chieh Jong, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 | |
Henry John Leonard Van Dyk, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 N Main St, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Dr. Frank Eckhard Dalichow, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Bernice Q. Ly, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Dr. Yuriy Y Vinokur, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 | |
Benjamin Thomas Gandesbery, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 167 North Main St, Tuba City, AZ 86045 Phone: 866-976-5941 |