<unavail> in Henderson, NV - Medicare Family Medicine

is a medicare enrolled primary clinic (Family Medicine) in Henderson, Nevada. The current practice location for is 1720 W Horizon Ridge Pkwy Ste 140, Henderson, Nevada. For appointments, you can reach them via phone at (702) 566-5445. The mailing address for is 1450 W Horizon Ridge Pkwy Ste B305 # 570, Henderson, Nevada and phone number is (702) 566-5445.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1134323561. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (702) 566-5445.

Contact Information


	1720 W Horizon Ridge Pkwy Ste 140 Henderson NV 89012-4896
	(702) 566-5445
	(702) 566-5035

Map and Direction

Primary Care Clinic Profile

Full Name
Speciality	Family Medicine
Location	1720 W Horizon Ridge Pkwy Ste 140, Henderson, Nevada
Authorized Official Name and Position	Sungwook S Kim (PRESIDENT)
Authorized Official Contact	7025665445
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
1450 W Horizon Ridge Pkwy Ste B305 # 570 Henderson NV 89012-4480 Ph: (702) 566-5445	1720 W Horizon Ridge Pkwy Ste 140 Henderson NV 89012-4896 Ph: (702) 566-5445

NPI Details:

NPI Number	1134323561
Provider Enumeration Date	06/11/2007
Last Update Date	05/02/2023

Medicare PECOS Information:

Medicare PECOS PAC ID	2567556947
Medicare Enrollment ID	O20070915000288

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134323561	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	(* (Not Available))	Primary
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363LF0000X	Nurse Practitioner - Family	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:

Provider Name	Sungwook S Kim
Provider Type	Practitioner - Family Practice
Provider Identifiers	NPI Number: 1871798900 PECOS PAC ID: 1850485152 Enrollment ID: I20070918000177

Reviews and Comments

Family Medicine in Henderson, NV

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Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7785 W Sahara Avenue, Henderson, NV 89015 Phone: 385-276-8414
The Doc's Primary Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3005 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-997-7600
Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2610 W Horizon Ridge Pkwy, Suite #103, Henderson, NV 89052 Phone: 702-407-8241 Fax: 702-492-1728
Mark Day, D.o., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 N Pecos Rd Ste A, Henderson, NV 89074 Phone: 702-456-9100 Fax: 702-434-7354

- Medicare Primary Care in Henderson, NV