Sunny Kim, | |
503 Airport Rd Ste 101, Medford, OR 97504-4159 | |
(541) 200-2900 | |
(541) 200-2948 |
Full Name | Sunny Kim |
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Gender | Female |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 503 Airport Rd Ste 101, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902003080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD160582 (Oregon) | Primary |
Entity Name | Dhs/office Of Financial Services Irs/eopc/bmrc/eotc/osh/osh-p |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508802489 PECOS PAC ID: 0547170383 Enrollment ID: O20040130000453 |
Entity Name | Columbiacare Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649466475 PECOS PAC ID: 6901182229 Enrollment ID: O20170420001277 |
Mailing Address | Practice Location Address |
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Sunny Kim, 3587 Heathrow Way, Medford, OR 97504-4004 Ph: (541) 858-8170 | Sunny Kim, 503 Airport Rd Ste 101, Medford, OR 97504-4159 Ph: (541) 200-2900 |
John H Rennick, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3156 State St, Medford, OR 97504 Phone: 541-476-2373 | |
Linda Young, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 140 South Holly Street, Medford, OR 97501 Phone: 541-774-8200 Fax: 541-774-7964 | |
Oscar Adolfo Sanchez, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 520 Medical Center Drive, Medford, OR 97504 Phone: 541-789-5710 Fax: 541-789-5713 | |
Dr. William Brendon Haynal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 555 Black Oak Drive, Suite 300 B, Medford, OR 97504 Phone: 541-789-8100 Fax: 541-789-8101 | |
Michael Steven Narus, DO Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 920 Royal Ave, Medford, OR 97504 Phone: 541-732-8400 Fax: 541-732-8401 | |
Dimitris Gerothanassis, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2825 E Barnett Rd, Medford, OR 97504 Phone: 541-891-7000 | |
Dr. Sam Scott Sorrentino, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 200 Beatty, Medford, OR 97501 Phone: 541-476-2373 |