Samuel H Kim, MD - Medicare Emergency Medicine in Milwaukie, OR

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Samuel H Kim, MD is a medicare enrolled "Emergency Medicine" physician in Milwaukie, Oregon. His current practice location is 10150 Se 32nd Ave, Milwaukie, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 513-8311.

Samuel H Kim is licensed to practice in Oregon (license number MD26471) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881795078.

Contact Information

Samuel H Kim, MD
10150 Se 32nd Ave,
Milwaukie, OR 97222-6516
(503) 513-8311
Not Available

Map and Direction




Physician's Profile

Full NameSamuel H Kim
GenderMale
SpecialityEmergency Medicine
Location10150 Se 32nd Ave, Milwaukie, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881795078
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 5395706071
  • Enrollment ID: I20070521000537

Medical Identifiers

Medical identifiers for Samuel H Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881795078NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD26471 (Oregon)Primary

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 H Kim allows following entities to bill medicare on his behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578500492
PECOS PAC ID: 1557260106
Enrollment ID: O20040102000768
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366536963
PECOS PAC ID: 6103728753
Enrollment ID: O20040123000371
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053862714
PECOS PAC ID: 7315856010
Enrollment ID: O20040304001330

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 H 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 AddressPractice Location Address
Samuel H Kim, MD
3105 Sw Bennington Dr,
Portland, OR 97205-5832

Ph: (253) 797-5980		Samuel H Kim, MD
10150 Se 32nd Ave,
Milwaukie, OR 97222-6516

Ph: (503) 513-8311

Reviews and Comments


Emergency Medicine Doctors in Milwaukie, OR

Dr. James Edward Maras, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222
Phone: 503-297-6334    Fax: 503-297-2360
Dr. Mark N. Roberts, D.O.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222
Phone: 503-297-6334    Fax: 503-297-2360
Dr. Paul Vincent Skiles, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222
Phone: 503-297-6334    Fax: 503-297-2360
Dr. Jason Dean Sundseth, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10330 Se 32nd Ave, Milwaukie, OR 97222
Phone: 503-513-8311    
Dr. Speros Demetre Homer Iii, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222
Phone: 503-297-6334    Fax: 503-297-2360
Dr. David Glen Knox, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222
Phone: 503-297-6334    Fax: 503-297-2360
Dr. Preston Joseph Fedor, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 10150 Se 32nd Ave, Milwaukie, OR 97222
Phone: 503-513-8300    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.