Ray S Kim, PHD in Crystal Lake, IL - Medicare Clinical Psychologist Provider

Ray S Kim, PHD is a medicare enrolled "Psychologist" provider in Crystal Lake, Illinois. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Patrick J Kennelly And Associates P C, Horizons Behavioral Health Llc and his current practice location is 500 Coventry Ln, Suite 205, Crystal Lake, Illinois. You can reach out to his office (for appointments etc.) via phone at (815) 455-7100.

Ray S Kim is licensed to practice in Illinois (license number 071-005373) 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 1912906116.

Contact Information

	Ray S Kim, PHD
	500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579
	(815) 455-7100
	(815) 455-3951

Map and Direction

Healthcare Provider's Profile

Full Name	Ray S Kim
Gender	Male
Speciality	Clinical Psychologist
Experience	30 Years
Location	500 Coventry Ln, Crystal Lake, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ray S Kim graduated from medical school in 1994

NPI Data:

NPI Number: 1912906116
Provider Enumeration Date: 07/19/2005
Last Update Date: 07/05/2012

Medicare PECOS Information:

PECOS PAC ID: 0941334361
Enrollment ID: I20100819001060

Medical Identifiers

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

Identifier	Type	State	Issuer
1912906116	NPI	-	NPPES
05619771	Other	IL	BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	071-005373 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Patrick J Kennelly And Associates P C	2860425113	6
Horizons Behavioral Health Llc	4385531672	12

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. Ray S Kim allows following entities to bill medicare on his behalf.

Entity Name	Horizons Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881692689 PECOS PAC ID: 4385531672 Enrollment ID: O20040304000369

Entity Name	Patrick J Kennelly And Associates P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750430476 PECOS PAC ID: 2860425113 Enrollment ID: O20050916000154

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. Ray S 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
Ray S Kim, PHD 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 Ph: (815) 455-7100	Ray S Kim, PHD 500 Coventry Ln, Suite 205, Crystal Lake, IL 60014-7579 Ph: (815) 455-7100

Reviews and Comments

Psychologist in Crystal Lake, IL

Dawn Renee Levitan, MS., ED.D., LCPC Psychologist Medicare: Medicare Enrolled Practice Location: 405 E Congress Pkwy, Suite C, Crystal Lake, IL 60014 Phone: 815-342-3726
Emily Bailey, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 507 Peachtree Ct, Crystal Lake, IL 60014 Phone: 847-431-4338
Dr. Carolyn M. Reeder, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 500 Coventry Ln, Suite 170, Crystal Lake, IL 60014 Phone: 815-356-2700 Fax: 815-356-2709
Dr. Douglas N Neal, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 185 Heritage Dr, Crystal Lake, IL 60014 Phone: 815-477-4727 Fax: 815-356-8779
Katharina Klakus, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 457 Coventry Ln Ste 116, Crystal Lake, IL 60014 Phone: 312-584-6739
John Lewandowski Iii, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 350 E Congress Pkwy Ste C, Crystal Lake, IL 60014 Phone: 815-356-5050 Fax: 815-356-5094
Dr. Timothy J Hayes, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 800 Mchenry Ave, Suite B, Crystal Lake, IL 60014 Phone: 815-455-0590 Fax: 815-455-0592

Ray S Kim, PHD - Medicare Psychologist in Crystal Lake, IL