Dr Samuel Sungwon Kim, MD - Medicare Pediatrics in Beverly Hills, CA

Dr Samuel Sungwon Kim, MD is a medicare enrolled "Pediatrics" physician in Beverly Hills, California. His current practice location is 150 N Robertson Blvd Ste 307, Beverly Hills, California. You can reach out to his office (for appointments etc.) via phone at (310) 659-8687.

Dr Samuel Sungwon Kim is licensed to practice in California (license number A114873) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023310687.

Contact Information

Dr Samuel Sungwon Kim, MD
150 N Robertson Blvd Ste 307,
Beverly Hills, CA 90211-2145
(310) 659-8687
(310) 659-2420



Physician's Profile

Full NameDr Samuel Sungwon Kim
GenderMale
SpecialityPediatrics
Location150 N Robertson Blvd Ste 307, Beverly Hills, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023310687
  • Provider Enumeration Date: 12/02/2010
  • Last Update Date: 11/21/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3173949344
  • Enrollment ID: I20201016001702

Medical Identifiers

Medical identifiers for Dr Samuel Sungwon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023310687NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A114873 (California)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 Samuel Sungwon Kim allows following entities to bill medicare on his behalf.
Entity NameCulminate Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780349985
PECOS PAC ID: 6507236486
Enrollment ID: O20230111000168

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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 Samuel Sungwon 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 Samuel Sungwon Kim, MD
150 N Robertson Blvd Ste 307,
Beverly Hills, CA 90211-2145

Ph: (818) 939-4511
Dr Samuel Sungwon Kim, MD
150 N Robertson Blvd Ste 307,
Beverly Hills, CA 90211-2145

Ph: (310) 659-8687

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Pediatrics Doctors in Beverly Hills, CA

Dr. Jeffrey P Brown, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 200 N Robertson Blvd, Beverly Hills, CA 90211
Phone: 310-385-3345    Fax: 310-248-7050
Dr. Anita Sabeti, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 9735 Wilshire Blvd, Suite 123, Beverly Hills, CA 90212
Phone: 310-248-2829    
Carolyn Lee Kipper, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 609 N Arden Dr, Beverly Hills, CA 90210
Phone: 310-278-4004    Fax: 310-278-6798
Reut Ron Pagi, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 8500 Wilshire Blvd Ste 917, Beverly Hills, CA 90211
Phone: 310-789-2058    
Dr. Vicki Y Shimoyama, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 8501 Wilshire Blvd, #205, Beverly Hills, CA 90211
Phone: 310-385-3345    Fax: 310-248-7010
Dr. Henry R Shinefield, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1858 N Beverly Dr, Beverly Hills, CA 90210
Phone: 415-519-8613    

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