Young Sun Kim, MD is a medicare enrolled "Internal Medicine" physician in Saint Charles, Illinois. His current practice location is
37w755 Il Route 38, Suite A, Saint Charles, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 208-2098.
Young Sun Kim is licensed to practice in Illinois (license number 036105165) 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 1194958587.
Physician's Profile
Full Name | Young Sun Kim |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 37w755 Il Route 38, Saint Charles, Illinois |
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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: 1194958587
- Provider Enumeration Date: 09/01/2009
- Last Update Date: 09/07/2009
Medicare PECOS Information:
- PECOS PAC ID: 9537517297
- Enrollment ID: I20231120000982
Medical Identifiers
Medical identifiers for Young Sun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194958587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036105165 (Illinois) | Primary |
207RG0300X | Internal Medicine - Geriatric Medicine | 036105165 (Illinois) | Secondary |
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. Young Sun Kim allows following entities to bill medicare on his behalf.
Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
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Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
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Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Other Medical Care Group |
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Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
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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. Young Sun 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 |
Young Sun Kim, MD 5634 S Thurlow St, Hinsdale, IL 60521-5128 Ph: (708) 269-2949 | Young Sun Kim, MD 37w755 Il Route 38, Suite A, Saint Charles, IL 60175-7507 Ph: (630) 208-2098 |
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