Yeon Kim, is a medicare enrolled "Physician Assistant - Medical" physician in Aston, Pennsylvania. His current practice location is
2901 Dutton Mill Rd Ste 110, Aston, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 485-6700.
Yeon Kim is licensed to practice in Pennsylvania (license number MA060272) 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 1063982981.
Physician's Profile
Full Name | Yeon Kim |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 2901 Dutton Mill Rd Ste 110, Aston, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063982981
- Provider Enumeration Date: 12/04/2018
- Last Update Date: 07/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618392325
- Enrollment ID: I20200728003846
Medical Identifiers
Medical identifiers for Yeon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063982981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | MA060272 (Pennsylvania) | Secondary |
363AM0700X | Physician Assistant - Medical | MA060272 (Pennsylvania) | Primary |
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. Yeon 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 |
Yeon Kim, 741 16th Ave, Prospect Park, PA 19076-1007 Ph: () - | Yeon Kim, 2901 Dutton Mill Rd Ste 110, Aston, PA 19014-2850 Ph: (610) 485-6700 |
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