Dr Eli Yong Kim, MD - Medicare Dermatology in Ooltewah, TN

Dr Eli Yong Kim, MD is a medicare enrolled "Dermatology" physician in Ooltewah, Tennessee. He went to Loma Linda University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Dermatology. His current practice location is 5545 Little Debbie Pkwy, Ooltewah, Tennessee. You can reach out to his office (for appointments etc.) via phone at (407) 451-6307.

Dr Eli Yong Kim is licensed to practice in Tennessee (license number 50377) 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 1861727802.

Contact Information

Dr Eli Yong Kim, MD
5545 Little Debbie Pkwy,
Ooltewah, TN 37363-4357
(407) 451-6307
Not Available



Physician's Profile

Full NameDr Eli Yong Kim
GenderMale
SpecialityDermatology
Experience17 Years
Location5545 Little Debbie Pkwy, Ooltewah, Tennessee
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:
  • Dr Eli Yong Kim attended and graduated from Loma Linda University School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1861727802
  • Provider Enumeration Date: 10/08/2009
  • Last Update Date: 05/10/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2961670542
  • Enrollment ID: I20130925000959

Medical Identifiers

Medical identifiers for Dr Eli Yong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861727802NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 070656 (Georgia)Secondary
207N00000XDermatology 50377 (Tennessee)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 Eli Yong Kim allows following entities to bill medicare on his behalf.
Entity NameSkin Cancer & Cosmetic Dermatology Center Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144419458
PECOS PAC ID: 8224118773
Enrollment ID: O20080109000552

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Entity NameEs Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740995968
PECOS PAC ID: 2668838061
Enrollment ID: O20230509002208

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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 Eli Yong 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
Dr Eli Yong Kim, MD
5545 Little Debbie Pkwy,
Ooltewah, TN 37363-4357

Ph: (407) 451-6307
Dr Eli Yong Kim, MD
5545 Little Debbie Pkwy,
Ooltewah, TN 37363-4357

Ph: (407) 451-6307

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Dermatology Doctors in Ooltewah, TN

Dr. Jonathan Allen Miller, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363
Phone: 423-206-2777    
Brittanya Limone,
Dermatology
Medicare: Medicare Enrolled
Practice Location: 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363
Phone: 423-206-2777    

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