Dr Sam Y Kim, MD - Medicare Otolaryngology in Fairbanks, AK

Dr Sam Y Kim, MD is a medicare enrolled "Otolaryngology" physician in Fairbanks, Alaska. He went to New York Medical College And Hospital For Women and graduated in 1998 and has 26 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Ear Nose And Throat Clinic Inc and his current practice location is 1919 Lathrop St, Ste 103, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 456-7768.

Dr Sam Y Kim is licensed to practice in Alaska (license number 5779) 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 1851454615.

Contact Information

Dr Sam Y Kim, MD
1919 Lathrop St, Ste 103,
Fairbanks, AK 99701-5937
(907) 456-7768
(907) 456-4045



Physician's Profile

Full NameDr Sam Y Kim
GenderMale
SpecialityOtolaryngology
Experience26 Years
Location1919 Lathrop St, Fairbanks, Alaska
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 Sam Y Kim attended and graduated from New York Medical College And Hospital For Women in 1998
  NPI Data:
  • NPI Number: 1851454615
  • Provider Enumeration Date: 12/19/2006
  • Last Update Date: 04/01/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4284731878
  • Enrollment ID: I20080721000175

Medical Identifiers

Medical identifiers for Dr Sam Y Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851454615NPI-NPPES
MD0304MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Y00000XOtolaryngology 5779 (Alaska)Primary
207Y00000XOtolaryngology 01051686A (Indiana)Secondary
207Y00000XOtolaryngology A99387 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairbanks Memorial HospitalFairbanks, AKHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ear Nose And Throat Clinic Inc28603844845

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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. Dr Sam Y Kim allows following entities to bill medicare on his behalf.
Entity NameEar Nose & Throat Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023179587
PECOS PAC ID: 2860384484
Enrollment ID: O20040329000276

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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 Sam Y 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 Sam Y Kim, MD
1919 Lathrop St, Ste 103,
Fairbanks, AK 99701-5937

Ph: (907) 456-7768
Dr Sam Y Kim, MD
1919 Lathrop St, Ste 103,
Fairbanks, AK 99701-5937

Ph: (907) 456-7768

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Otolaryngology Doctors in Fairbanks, AK

Thomas H Hammond, M.D.
Otolaryngology
Medicare: Accepting Medicare Assignments
Practice Location: 1919 Lathrop St. Ste 103, Fairbanks, AK 99701
Phone: 907-456-7768    Fax: 907-456-4045
Dr. Richard P Raugust, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1919 Lathrop St., Ste 103, Fairbanks, AK 99701
Phone: 907-456-7768    Fax: 907-456-4045
Dr. Eric Michael Tallan, M.D.
Otolaryngology
Medicare: Not Enrolled in Medicare
Practice Location: 1919 Lathrop St., Ste 207, Fairbanks, AK 99701
Phone: 907-456-7768    

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