Dae Woong Kim, - Medicare Physician Assistant in Queen Creek, AZ

Dae Woong Kim, is a medicare enrolled "Physician Assistant" in Queen Creek, Arizona. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Prescott Healthcare Solutions Llc and his current practice location is 21321 E Ocotillo Rd Ste 133, Queen Creek, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 987-5525.

Dae Woong Kim is licensed to practice in Arizona (license number 7074) 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 1386132652.

Contact Information

Dae Woong Kim,
21321 E Ocotillo Rd Ste 133,
Queen Creek, AZ 85142-5995
(480) 987-5525
(480) 987-5115

Map and Direction




Provider's Profile

Full NameDae Woong Kim
GenderMale
SpecialityPhysician Assistant
Experience6 Years
Location21321 E Ocotillo Rd Ste 133, Queen Creek, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dae Woong Kim graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1386132652
  • Provider Enumeration Date: 04/23/2018
  • Last Update Date: 01/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8820352289
  • Enrollment ID: I20180510002170

Medical Identifiers

Medical identifiers for Dae Woong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386132652NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 7074 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prescott Healthcare Solutions Llc438594029587

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. Dae Woong 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
Dae Woong Kim,
21321 E Ocotillo Rd Ste 133,
Queen Creek, AZ 85142-5995

Ph: (480) 987-5525
Dae Woong Kim,
21321 E Ocotillo Rd Ste 133,
Queen Creek, AZ 85142-5995

Ph: (480) 987-5525

Reviews and Comments


Physician Assistant Nurses in Queen Creek, AZ

Elizabeth Ann Georlett, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 21772 S Ellsworth Loop Rd, Queen Creek, AZ 85142
Phone: 480-394-4480    
Mrs. Kelly Allison Mcmillan, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 287 E Hunt Hwy, Suite 105, Queen Creek, AZ 85143
Phone: 480-677-8282    Fax: 480-677-8283
Jillian Blair Trulson,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 20261 E Ocotillo Rd, Queen Creek, AZ 85142
Phone: 480-677-2771    
Kyle Alexander Hunsaker, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 21321 E Ocotillo Rd Ste 133, Queen Creek, AZ 85142
Phone: 480-291-3699    Fax: 480-987-5115
Kari Lynn Giarrizzo, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 20715 E Ocotillo Rd Ste 102, Queen Creek, AZ 85142
Phone: 480-987-0987    Fax: 480-987-0940
Timothy Palmer Lane, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 21321 E Ocotillo Rd, Queen Creek, AZ 85142
Phone: 480-677-3688    
Sai Suhasini Yanamandra,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 22355 E Queen Creek Rd # 103-104, Queen Creek, AZ 85142
Phone: 480-677-8282    Fax: 844-470-2777

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.