Dong Kim, MD - Medicare Dermatology in Fargo, ND

Dong Kim, MD is a medicare enrolled "Dermatology" physician in Fargo, North Dakota. He graduated from medical school in 2016 and has 8 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Innovis Health Llc and his current practice location is 1702 University Dr S, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 364-3300.

Dong Kim is licensed to practice in North Dakota (license number 16544) 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 1043666274.

Contact Information

Dong Kim, MD
1702 University Dr S,
Fargo, ND 58103-4940
(701) 364-3300
Not Available



Physician's Profile

Full NameDong Kim
GenderMale
SpecialityDermatology
Experience8 Years
Location1702 University Dr S, Fargo, North Dakota
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:
  • Dong Kim graduated from medical school in 2016
  NPI Data:
  • NPI Number: 1043666274
  • Provider Enumeration Date: 05/06/2016
  • Last Update Date: 07/13/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3779839246
  • Enrollment ID: I20200716000230

Medical Identifiers

Medical identifiers for Dong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043666274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 67131 (Minnesota)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207N00000XDermatology 16544 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Essentia HealthFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Innovis Health Llc9931298155473

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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. Dong Kim allows following entities to bill medicare on his behalf.
Entity NameInnovis Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215125463
PECOS PAC ID: 9931298155
Enrollment ID: O20071211000158

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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. Dong 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
Dong Kim, MD
1702 University Dr S,
Fargo, ND 58103-4940

Ph: () -
Dong Kim, MD
1702 University Dr S,
Fargo, ND 58103-4940

Ph: (701) 364-3300

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Dermatology Doctors in Fargo, ND

Mrs. Rachel C Ness, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 3173 43rd Street S Ste A, Fargo, ND 58104
Phone: 701-478-8780    Fax: 701-478-8781
Kimberly Rae Kelly, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1702 University Dr S, Fargo, ND 58103
Phone: 701-364-3300    Fax: 701-364-8906
David B Flach, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 4656 40th Ave S, Fargo, ND 58104
Phone: 701-234-8860    Fax: 701-234-8924
Christopher Ryan Cunningham, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 801 Broadway N, Fargo, ND 58102
Phone: 701-234-2000    
Amanda Beehler, DO
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1702 University Dr S, Fargo, ND 58103
Phone: 701-364-3300    Fax: 701-364-8906
Dr. Joanne Ruth Montgomery, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 4656 40th Ave S, Fargo, ND 58104
Phone: 701-234-8860    

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