Dr Kwangsu Kim, DPM is a medicare enrolled "Podiatrist" provider in Tuckahoe, New York. He went to Temple University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Podiatry. His current practice location is
1 Elm St, Suite C, Tuckahoe, New York. You can reach out to his office (for appointments etc.) via phone at
(914) 337-0606.
Dr Kwangsu Kim is licensed to practice in New York (license number 65 006264) 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 1104095744.
Healthcare Provider's Profile
| Full Name | Dr Kwangsu Kim |
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| Gender | Male |
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| Speciality | Podiatry |
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| Experience | 19 Years |
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| Location | 1 Elm St, Tuckahoe, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kwangsu Kim attended and graduated from Temple University School Of Medicine in 2005
NPI Data:
- NPI Number: 1104095744
- Provider Enumeration Date: 02/28/2008
- Last Update Date: 01/03/2013
Medicare PECOS Information:
- PECOS PAC ID: 0446325757
- Enrollment ID: I20080821000343
Medical Identifiers
Medical identifiers for Dr Kwangsu Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104095744 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213E00000X | Podiatrist | 65 006264 (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. Dr Kwangsu Kim allows following entities to bill medicare on his behalf.
| Provider Name | Ks Podiatry Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1710220561
PECOS PAC ID: 6103066576
Enrollment ID: O20130829000183 |
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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. Dr Kwangsu 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 |
|---|
Dr Kwangsu Kim, DPM
1 Elm St, Suite 1c,
Tuckahoe, NY 10707-3925
Ph: (914) 337-0606 | Dr Kwangsu Kim, DPM
1 Elm St, Suite C,
Tuckahoe, NY 10707-3925
Ph: (914) 337-0606 |
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