Dr Sang Won Dacri-kim, DO - Medicare Vascular Surgery in Newark, OH

Dr Sang Won Dacri-kim, DO is a medicare enrolled "Surgery - Vascular Surgery" physician in Newark, Ohio. He went to Philadelphia College Of Osteopathic Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Ashtabula County Medical Center and his current practice location is 1970 Tamarack Rd., Newark, Ohio. You can reach out to his office (for appointments etc.) via phone at (740) 344-2452.

Dr Sang Won Dacri-kim is licensed to practice in Ohio (license number 34006602) 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 1043385529.

Contact Information

Dr Sang Won Dacri-kim, DO
1970 Tamarack Rd.,
Newark, OH 43055
(740) 344-2452
(740) 522-7305



Physician's Profile

Full NameDr Sang Won Dacri-kim
GenderMale
SpecialityVascular Surgery
Experience34 Years
Location1970 Tamarack Rd., Newark, Ohio
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 Sang Won Dacri-kim attended and graduated from Philadelphia College Of Osteopathic Medicine in 1990
  NPI Data:
  • NPI Number: 1043385529
  • Provider Enumeration Date: 11/21/2006
  • Last Update Date: 11/23/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 1951377035
  • Enrollment ID: I20040920001332

Medical Identifiers

Medical identifiers for Dr Sang Won Dacri-kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043385529NPI-NPPES
2028577MedicaidOH
P00397004OtherOHRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 34006602 (Ohio)Secondary
2086S0129XSurgery - Vascular Surgery 34006602 (Ohio)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ashtabula County Medical CenterAshtabula, OHHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ashtabula County Medical Center266846560064

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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 Sang Won Dacri-kim allows following entities to bill medicare on his behalf.
Entity NameAshtabula County Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942247143
PECOS PAC ID: 2668465600
Enrollment ID: O20040406000897

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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 Sang Won Dacri-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 Sang Won Dacri-kim, DO
1970 Tamarack Rd.,
Newark, OH 43055

Ph: (740) 344-2452
Dr Sang Won Dacri-kim, DO
1970 Tamarack Rd.,
Newark, OH 43055

Ph: (740) 344-2452

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Surgery Doctors in Newark, OH

Dr. William H Phillips, D.O.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1371 West Main Street, Newark, OH 43055
Phone: 220-564-1965    Fax: 220-564-1966
Dr. Larry Pasley, MD
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1272 W Main St, Bldg. 3, Newark, OH 43055
Phone: 740-348-1880    Fax: 740-348-1881
Dr. Brent M Savage, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 30 Messimer Dr, Newark, OH 43055
Phone: 220-564-1880    Fax: 220-564-1881
Mr. John Marvin Mitchell, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 30 Messimer Dr, Newark, OH 43055
Phone: 220-564-1880    Fax: 220-564-1881
Ahmed F. Kandeel, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1272 West Main Street, Suite 302, Newark, OH 43055
Phone: 220-564-1880    Fax: 220-564-1881
Dr. Alex D Juan, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1970 Tamarack Rd, Newark, OH 43055
Phone: 740-344-2452    Fax: 740-344-7305

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