Susan C Kim, MD in Meridian, ID - Medicare Pediatrics

Susan C Kim, MD is a medicare enrolled "Pediatrics" physician in Meridian, Idaho. Her current practice location is 3280 E Lanark Dr, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 377-4400.

Susan C Kim is licensed to practice in Idaho (license number M6493) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265478531.

Contact Information

	Susan C Kim, MD
	3280 E Lanark Dr, Meridian, ID 83642-5982
	(208) 377-4400
	(208) 377-4416

Map and Direction

Physician's Profile

Full Name	Susan C Kim
Gender	Female
Speciality	Pediatrics
Location	3280 E Lanark Dr, Meridian, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265478531
Provider Enumeration Date: 06/22/2006
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 4880789981
Enrollment ID: I20071004000485

Medical Identifiers

Medical identifiers for Susan C Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265478531	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	M6493 (Idaho)	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. Susan C Kim allows following entities to bill medicare on her behalf.

Entity Name	Saint Alphonsus Regional Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649357716 PECOS PAC ID: 3476462359 Enrollment ID: O20040204001036

Entity Name	Alliance Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568413920 PECOS PAC ID: 3971544685 Enrollment ID: O20050512000561

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. Susan C 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
Susan C Kim, MD Po Box 191050, Boise, ID 83719-1050 Ph: (208) 955-6500	Susan C Kim, MD 3280 E Lanark Dr, Meridian, ID 83642-5982 Ph: (208) 377-4400

Reviews and Comments

Pediatrics Doctors in Meridian, ID

Kristina Miles, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 2275 S Eagle Rd Ste 120, Meridian, ID 83642 Phone: 208-514-2520 Fax: 208-375-2217
Mrs. Anne E. Riffle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3653 N. Locust Grove Road, Meridian, ID 83646 Phone: 208-338-5437 Fax: 208-939-9811
Robert F Adams, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 520 S Eagle Rd, Meridian, ID 83642 Phone: 208-336-9188
Joshua Edwin Albright, Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030
Lisa M. Barker, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1620 S Celebration Ave, Meridian, ID 83642 Phone: 208-884-1030
Dr. Brian C Birch, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2921 S Meridian Rd, Meridian, ID 83642 Phone: 208-297-7847 Fax: 208-203-0097

Susan C Kim, MD - Medicare Pediatrics in Meridian, ID