Roy B Kim, MD is a medicare enrolled "Anesthesiology" physician in Sun Prairie, Wisconsin. He graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Anesthesiology. He is a member of the group practice Cep America - Anesthesia Pc, Premier Anesthesia Of California Pc, Silicon Valley Comprehensive Pain Inc and his current practice location is
1153 Stonehaven Dr, Sun Prairie, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(142) 534-1747.
Roy B Kim is licensed to practice in California (license number A160872) 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 1700272309.
Physician's Profile
Full Name | Roy B Kim |
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Gender | Male |
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Speciality | Anesthesiology |
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Experience | 9 Years |
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Location | 1153 Stonehaven Dr, Sun Prairie, Wisconsin |
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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:
- Roy B Kim graduated from medical school in 2015
NPI Data:
- NPI Number: 1700272309
- Provider Enumeration Date: 04/09/2015
- Last Update Date: 08/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759639685
- Enrollment ID: I20200327001430
Medical Identifiers
Medical identifiers for Roy B Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700272309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | 73574 (Wisconsin) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | 73574 (Wisconsin) | Secondary |
207L00000X | Anesthesiology | A160872 (California) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Cep America - Anesthesia Pc | 3678897915 | 339 |
Premier Anesthesia Of California Pc | 5092897025 | 49 |
Silicon Valley Comprehensive Pain Inc | 7911361779 | 2 |
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. Roy B Kim allows following entities to bill medicare on his behalf.
Entity Name | Premier Anesthesia Of California Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770691859 PECOS PAC ID: 5092897025 Enrollment ID: O20080130000444 |
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Entity Name | Cep America - Anesthesia Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1790401438 PECOS PAC ID: 3678897915 Enrollment ID: O20150115001110 |
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Entity Name | Silicon Valley Comprehensive Pain Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750061131 PECOS PAC ID: 7911361779 Enrollment ID: O20230912002456 |
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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. Roy B 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 |
Roy B Kim, MD 1153 Stonehaven Dr, Sun Prairie, WI 53590-4474 Ph: () - | Roy B Kim, MD 1153 Stonehaven Dr, Sun Prairie, WI 53590-4474 Ph: (142) 534-1747 |
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