Wang Ki Kim, MD - Medicare Psychiatry & Neurology in Gowanda, NY

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Wang Ki Kim, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Gowanda, New York. His current practice location is 100 Memorial Drive, Gowanda, New York. You can reach out to his office (for appointments etc.) via phone at (716) 532-9202.

Wang Ki Kim is licensed to practice in New York (license number 1233901) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649345349.

Contact Information

Wang Ki Kim, MD
100 Memorial Drive,
Gowanda, NY 14070
(716) 532-9202
Not Available

Map and Direction




Physician's Profile

Full NameWang Ki Kim
GenderMale
SpecialityPsychiatry & Neurology - Psychiatry
Location100 Memorial Drive, Gowanda, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649345349
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 05/24/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 8628100419
  • Enrollment ID: I20100714000296

Medical Identifiers

Medical identifiers for Wang Ki Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649345349NPI-NPPES
69440206OtherNYLIONEL R JOHN CONTRACT HE
00020290301OtherNYUNIVERA
1505718OtherNYINDEPENDENT HEALTH
5074651OtherNYBLUE CROSS
005074651OtherNYCOMMUNITY BLUE
074651OtherNYBLUE SHIELD
1042076OtherNYFIDELIS CARE
69440206OtherNYCATTARAUGUS INDIAN RESERV
01429390MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084A0401XPsychiatry & Neurology - Addiction Medicine 1233901 (New York)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry 1233901 (New York)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. Wang Ki Kim allows following entities to bill medicare on his behalf.
Entity NameCounty Of Chautauqua - A Mun Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902897374
PECOS PAC ID: 1951380633
Enrollment ID: O20070601000400

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. Wang Ki 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
Wang Ki Kim, MD
54425 Lakeshore Road,
Hamburg, NY 14075

Ph: (716) 627-3776		Wang Ki Kim, MD
100 Memorial Drive,
Gowanda, NY 14070

Ph: (716) 532-9202

Reviews and Comments


Psychiatry & Neurology Doctors in Gowanda, NY

John B Mcalevey, DO
Psychiatry & Neurology
Medicare: Medicare Enrolled
Practice Location: 1438 Taylor Hollow Road, Gowanda, NY 14070
Phone: 716-532-2231    Fax: 716-532-2200

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.