Taewan Kim, MD | |
140 W 6th St Ste Ll30, Oswego, NY 13126-2564 | |
(315) 349-5511 | |
(315) 349-5921 |
Full Name | Taewan Kim |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 28 Years |
Location | 140 W 6th St Ste Ll30, Oswego, New York |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992757421 | NPI | - | NPPES |
02155824 | Medicaid | NY | |
P02005039 | Other | NY | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 220630 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Crouse Hospital | Syracuse, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Crouse Medical Practice Pllc | 8426189622 | 142 |
Physician Care Pc | 9032367453 | 57 |
Entity Name | University Surgical Associates Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376590117 PECOS PAC ID: 7315834165 Enrollment ID: O20040304000499 |
Entity Name | Crouse Medical Practice Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922321934 PECOS PAC ID: 8426189622 Enrollment ID: O20100702000336 |
Entity Name | Physician Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073868113 PECOS PAC ID: 9032367453 Enrollment ID: O20120910000593 |
Mailing Address | Practice Location Address |
---|---|
Taewan Kim, MD 110 W 6th St, Oswego, NY 13126-2507 Ph: (315) 349-5511 | Taewan Kim, MD 140 W 6th St Ste Ll30, Oswego, NY 13126-2564 Ph: (315) 349-5511 |
Dr. Lisa Marie Lai, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 County Route 45a Ste 100, Oswego, NY 13126 Phone: 315-312-0089 Fax: 315-342-2842 | |
Howard M Simon, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 38 Erie St, Oswego, NY 13126 Phone: 315-342-6771 Fax: 315-342-2842 | |
Ryan Mcgarry Walker, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 County Route 45a Ste 100, Oswego, NY 13126 Phone: 315-342-6771 Fax: 315-342-2842 | |
Dr. Jeffrey Witt Strain, MD, FACS Surgery Medicare: Accepting Medicare Assignments Practice Location: 105 County Route 45a Ste 100, Oswego, NY 13126 Phone: 315-312-0089 | |
James Irwin Boles, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 154 W 7th St, Oswego, NY 13126 Phone: 315-342-5488 Fax: 315-342-0749 | |
Dr. Allison Duggan, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 110a W Utica St, Oswego, NY 13126 Phone: 315-342-6771 Fax: 315-342-2842 | |
Dr. Osama Essa, MD Surgery Medicare: Medicare Enrolled Practice Location: 105 County Route 45a Ste 100, Oswego, NY 13126 Phone: 315-342-6771 Fax: 315-342-2842 |