Scott Sang Won Kim, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Greenwood, Indiana. He went to University Of Maryland School Of Medicine and graduated in 2015 and has 9 years of diverse experience with area of expertise as Pain Management. He is a member of the group practice Shadeland Anesthesia And Pain Associates Inc and his current practice location is
533 E County Line Rd, Suite 201, Greenwood, Indiana. You can reach out to his office (for appointments etc.) via phone at
(317) 706-7246.
Scott Sang Won Kim is licensed to practice in Indiana (license number 01077832A) 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 1164650461.
Physician's Profile
Full Name | Scott Sang Won Kim |
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Gender | Male |
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Speciality | Pain Management |
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Experience | 9 Years |
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Location | 533 E County Line Rd, Greenwood, Indiana |
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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:
- Scott Sang Won Kim attended and graduated from University Of Maryland School Of Medicine in 2015
NPI Data:
- NPI Number: 1164650461
- Provider Enumeration Date: 06/24/2009
- Last Update Date: 01/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 8123242252
- Enrollment ID: I20161206001483
Medical Identifiers
Medical identifiers for Scott Sang Won Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164650461 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | MD043623 (District Of Columbia) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 0101255306 (Virginia) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 01077832A (Indiana) | Secondary |
208VP0000X | Pain Medicine - Pain Medicine | D0077042 (Maryland) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 01077832A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Shadeland Anesthesia And Pain Associates Inc | 2769468990 | 33 |
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. Scott Sang Won Kim allows following entities to bill medicare on his behalf.
Entity Name | Shadeland Anesthesia & Pain Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1477589000 PECOS PAC ID: 2769468990 Enrollment ID: O20040628000781 |
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Entity Name | Center For Special Surgery Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1538195169 PECOS PAC ID: 3577514660 Enrollment ID: O20050207000238 |
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Entity Name | Center For Southside Surgery, Llc |
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Entity Type | Part B Supplier - Ambulatory Surgical Center |
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Entity Identifiers | NPI Number: 1003292483 PECOS PAC ID: 8729396585 Enrollment ID: O20150929001638 |
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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. Scott Sang Won 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 |
Scott Sang Won Kim, MD 8805 N Meridian St, Indianapolis, IN 46260-2760 Ph: (317) 706-7246 | Scott Sang Won Kim, MD 533 E County Line Rd, Suite 201, Greenwood, IN 46143-1073 Ph: (317) 706-7246 |
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