Seong Cheol Kim, MD is a medicare enrolled "General Practice" physician in St Cloud, Florida. His current practice location is
2647 Meadowwedge Loop, St Cloud, Florida. You can reach out to his office (for appointments etc.) via phone at
(407) 793-4608.
Seong Cheol Kim is licensed to practice in Michigan (license number 4301039276) 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 1457351702.
Physician's Profile
Full Name | Seong Cheol Kim |
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Gender | Male |
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Speciality | General Practice |
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Location | 2647 Meadowwedge Loop, St Cloud, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457351702
- Provider Enumeration Date: 07/28/2005
- Last Update Date: 11/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 5193619179
- Enrollment ID: I20040211000050
Medical Identifiers
Medical identifiers for Seong Cheol Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457351702 | NPI | - | NPPES |
4542300 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083X0100X | Preventive Medicine - Occupational Medicine | 039276 (Michigan) | Secondary |
208D00000X | General Practice | SK039276 (Michigan) | Secondary |
208D00000X | General Practice | 4301039276 (Michigan) | Primary |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 039276 (Michigan) | Secondary |
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. Seong Cheol 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 |
Seong Cheol Kim, MD 2647 Meadowwedge Loop, St Cloud, FL 34772 Ph: (407) 793-4608 | Seong Cheol Kim, MD 2647 Meadowwedge Loop, St Cloud, FL 34772 Ph: (407) 793-4608 |
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