Eddie Jihoon Kim, MD - Medicare Undersea And Hyperbaric Medicine in Henderson, NV

Eddie Jihoon Kim, MD is a medicare enrolled "Emergency Medicine" physician in Henderson, Nevada. He went to State University Of New York At Buffalo School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Undersea And Hyperbaric Medicine. He is a member of the group practice John T Mather Memorial Hospital and his current practice location is 2380 W Horizon Ridge Pkwy, Suite 110, Henderson, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 823-4255.

Eddie Jihoon Kim is licensed to practice in Nevada (license number 15231) 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 1235428525.

Contact Information

Eddie Jihoon Kim, MD
2380 W Horizon Ridge Pkwy, Suite 110,
Henderson, NV 89052-5078
(702) 823-4255
Not Available



Physician's Profile

Full NameEddie Jihoon Kim
GenderMale
SpecialityUndersea And Hyperbaric Medicine
Experience13 Years
Location2380 W Horizon Ridge Pkwy, Henderson, Nevada
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:
  • Eddie Jihoon Kim attended and graduated from State University Of New York At Buffalo School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1235428525
  • Provider Enumeration Date: 04/07/2011
  • Last Update Date: 01/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 3072731702
  • Enrollment ID: I20170126000143

Medical Identifiers

Medical identifiers for Eddie Jihoon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235428525NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 15231 (Nevada)Primary
207P00000XEmergency Medicine 273327 (New York)Secondary
207P00000XEmergency Medicine 129570 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John T Mather Memorial Hospital Of Port JeffersonPort jefferson, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
John T Mather Memorial Hospital1254237753142

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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. Eddie Jihoon Kim allows following entities to bill medicare on his behalf.
Entity NameJohn T Mather Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932296316
PECOS PAC ID: 1254237753
Enrollment ID: O20040316000754

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Entity NameNorth Shore - Lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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Entity NameJohn T Mather Memorial Hospital
Entity TypePart B Supplier - Hospital Department(s)
Entity IdentifiersNPI Number: 1073863635
PECOS PAC ID: 1254237753
Enrollment ID: O20130103000478

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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. Eddie Jihoon 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
Eddie Jihoon Kim, MD
2380 W Horizon Ridge Pkwy, Suite 110,
Henderson, NV 89052-5078

Ph: (702) 823-4255
Eddie Jihoon Kim, MD
2380 W Horizon Ridge Pkwy, Suite 110,
Henderson, NV 89052-5078

Ph: (702) 823-4255

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Emergency Medicine Doctors in Henderson, NV

Tim Kuo, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052
Phone: 702-616-6102    
Steven Matthew Savage,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1250 American Pacific Dr Apt 1624, Henderson, NV 89074
Phone: 661-609-6431    
Dr. Jaime Jessica Primerano, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2380 W Horizon Ridge Pkwy, Suite 110, Henderson, NV 89052
Phone: 702-823-4255    Fax: 702-475-3261
Dr. Julie Ann Rivas, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2380 W Horizon Ridge Pkwy, Suite 110, Henderson, NV 89052
Phone: 702-823-4255    
James Hayes, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052
Phone: 330-493-4443    Fax: 330-493-8677
Randall K. Bess, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052
Phone: 702-616-5000    
Roger Martinez, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 102 E Lake Mead Pkwy, Henderson, NV 89015
Phone: 330-493-4443    Fax: 330-493-8677

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