Tae Kyu Kim, MD in San Bernardino, CA - Medicare Family Practice

Tae Kyu Kim, MD is a medicare enrolled "Family Medicine" physician in San Bernardino, California. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice First Choice Physician Partners and his current practice location is 275 W Hospitality Ln Ste 200, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 490-5938.

Tae Kyu Kim is licensed to practice in California (license number A124131) 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 1568629889.

Contact Information

	Tae Kyu Kim, MD
	275 W Hospitality Ln Ste 200, San Bernardino, CA 92408-3238
	(909) 490-5938
	Not Available

Map and Direction

Physician's Profile

Full Name	Tae Kyu Kim
Gender	Male
Speciality	Family Practice
Experience	21 Years
Location	275 W Hospitality Ln Ste 200, San Bernardino, California
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:

Tae Kyu Kim graduated from medical school in 2003

NPI Data:

NPI Number: 1568629889
Provider Enumeration Date: 05/22/2008
Last Update Date: 05/19/2020

Medicare PECOS Information:

PECOS PAC ID: 4880733690
Enrollment ID: I20130312000174

Medical Identifiers

Medical identifiers for Tae Kyu Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568629889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A124131 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Desert Regional Medical Center	Palm springs, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
First Choice Physician Partners	0941465322	195

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. Tae Kyu Kim allows following entities to bill medicare on his behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811255060 PECOS PAC ID: 8527223304 Enrollment ID: O20120628000360

Entity Name	First Choice Physician Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104183052 PECOS PAC ID: 0941465322 Enrollment ID: O20120710000480

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. Tae Kyu 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
Tae Kyu Kim, MD 275 W Hospitality Ln Ste 200, San Bernardino, CA 92408-3238 Ph: (909) 490-5938	Tae Kyu Kim, MD 275 W Hospitality Ln Ste 200, San Bernardino, CA 92408-3238 Ph: (909) 490-5938

Reviews and Comments

Family Medicine Doctors in San Bernardino, CA

Robert William Watrous, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100
Dr. Jesse R. Devera, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 303 E Vanderbilt Way, San Bernardino, CA 92415 Phone: 909-388-0810 Fax: 909-890-2081
Dr. Donna Ruth Thompson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 North Waterman Ave, San Bernardino, CA 92404 Phone: 909-883-8611 Fax: 909-886-1798
Dr. Kelsey Louaine Cherepuschak, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100
Sachin Kumar Chatta, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 742 W Highland Ave, San Bernardino, CA 92405 Phone: 909-881-7320 Fax: 909-881-7330
Dr. Uzair Siddiqui, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 665 N D St, San Bernardino, CA 92401 Phone: 909-708-8158
Hugo A. Leon, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 250 S G St, San Bernardino, CA 92410 Phone: 909-382-7100 Fax: 909-382-7101

Tae Kyu Kim, MD - Medicare Family Practice in San Bernardino, CA