Samuel Chan Kim, MD in Lafayette, IN

Samuel Chan Kim, MD is a medicare enrolled "Urology" physician in Lafayette, Indiana. He went to Northwestern University Feinberg Medical School and graduated in 1996 and has 28 years of diverse experience with area of expertise as Urology. He is a member of the group practice Indiana University Health Ball Memorial Physicians Inc and his current practice location is 5165 Mccarty Ln, Lafayette, Indiana. You can reach out to his office (for appointments etc.) via phone at (765) 448-8000.

Samuel Chan Kim is licensed to practice in Indiana (license number 01058979A) 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 1134129679.

Contact Information

	Samuel Chan Kim, MD
	5165 Mccarty Ln, Lafayette, IN 47905-8764
	(765) 448-8000
	(765) 448-7619

Map and Direction

Physician's Profile

Full Name	Samuel Chan Kim
Gender	Male
Speciality	Urology
Experience	28 Years
Location	5165 Mccarty Ln, Lafayette, Indiana
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:

Samuel Chan Kim attended and graduated from Northwestern University Feinberg Medical School in 1996

NPI Data:

NPI Number: 1134129679
Provider Enumeration Date: 07/27/2005
Last Update Date: 08/11/2023

Medicare PECOS Information:

PECOS PAC ID: 3577536994
Enrollment ID: I20040814000095

Medical Identifiers

Medical identifiers for Samuel Chan Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134129679	NPI	-	NPPES
815500539	Other	IN	MEDICARE PTAN
200476300A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	01058979A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Indiana University Health Ball Memorial Hospital	Muncie, IN	Hospital
Indiana University Health Jay, Inc.	Portland, IN	Hospital
Indiana University Health North Hospital	Carmel, IN	Hospital
Indiana University Health	Indianapolis, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Indiana University Health Ball Memorial Physicians Inc	9537072640	301

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. Samuel Chan Kim allows following entities to bill medicare on his behalf.

Entity Name	Indiana University Health Ball Memorial Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235455544 PECOS PAC ID: 9537072640 Enrollment ID: O20031110000505

Entity Name	Arnett Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119

Entity Name	Urology Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326093147 PECOS PAC ID: 5799876678 Enrollment ID: O20070807000354

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. Samuel Chan 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
Samuel Chan Kim, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () -	Samuel Chan Kim, MD 5165 Mccarty Ln, Lafayette, IN 47905-8764 Ph: (765) 448-8000

Reviews and Comments

Urology Doctors in Lafayette, IN

Dr. David Fumo Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 765-448-7619
John David Reisman, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7619
Stephen D Beck, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1345 Unity Pl, Suite 110a, Lafayette, IN 47905 Phone: 765-447-9308 Fax: 765-447-2387
Daniel B Abbott, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 5177 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000
Dr. Stanton Maurice Regan, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000
Norbert Michael Welch, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 Fax: 765-448-7619

Samuel Chan Kim, MD - Medicare Urology in Lafayette, IN