Stacy June Kim, MD - Medicare Pathology in Las Vegas, NV

Stacy June Kim, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Las Vegas, Nevada. She went to Northeastern Ohio University College Of Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Pathology. She is a member of the group practice Hoffman, Md, Associated Pathologists Chartered and her current practice location is 4230 Burnham Ave, Associated Pathologists, Chartered, Las Vegas, Nevada. You can reach out to her office (for appointments etc.) via phone at (702) 733-7866.

Stacy June Kim is licensed to practice in Nevada (license number 12851) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265633077.

Contact Information

Stacy June Kim, MD
4230 Burnham Ave, Associated Pathologists, Chartered,
Las Vegas, NV 89119-5408
(702) 733-7866
(702) 792-1319

Map and Direction




Physician's Profile

Full NameStacy June Kim
GenderFemale
SpecialityPathology
Experience21 Years
Location4230 Burnham Ave, Las Vegas, Nevada
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Stacy June Kim attended and graduated from Northeastern Ohio University College Of Medicine in 2003
  NPI Data:
  • NPI Number: 1265633077
  • Provider Enumeration Date: 05/30/2007
  • Last Update Date: 10/12/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7719047745
  • Enrollment ID: I20081121000020

Medical Identifiers

Medical identifiers for Stacy June Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265633077NPI-NPPES
12851OtherNVMEDICAL LICENSE
1265633077MedicaidNV
A108582OtherCAMEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZC0500XPathology - Cytopathology A108582 (California)Secondary
207ZC0500XPathology - Cytopathology 12851 (Nevada)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology MD430805 (Pennsylvania)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology A108582 (California)Secondary
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 12851 (Nevada)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Rose Dominican Hospitals - Siena CampusHenderson, NVHospital
Saint Rose Dominican Hospitals - San Martin CampusLas vegas, NVHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hoffman, Md, Associated Pathologists Chartered822492186114

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. Stacy June Kim allows following entities to bill medicare on her behalf.
Entity NameHoffman, Md, Associated Pathologists Chartered
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810057
PECOS PAC ID: 8224921861
Enrollment ID: O20040206000042

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. Stacy June 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
Stacy June Kim, MD
4230 Burnham Ave, Associated Pathologists, Chartered,
Las Vegas, NV 89119-5408

Ph: (702) 733-7866
Stacy June Kim, MD
4230 Burnham Ave, Associated Pathologists, Chartered,
Las Vegas, NV 89119-5408

Ph: (702) 733-7866

Reviews and Comments


Pathology Doctors in Las Vegas, NV

Mrs. June Durkee Sigman, MD
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Narciss Mobini, MD
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Michelle Mcnamara, MD
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Mr. Jonathan Howard Hughes, MD PHD
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Phone: 702-732-3441    Fax: 702-732-2310
Peter Aylward Scully, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 4230 Burnham Avenue, Las Vegas, NV 89119
Phone: 702-733-7866    Fax: 702-792-1319

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.