Jae Yong Kim, MD - Medicare Ophthalmology in Dearborn, MI

Jae Yong Kim, MD is a medicare enrolled "Ophthalmology" physician in Dearborn, Michigan. His current practice location is 1922 Monroe St, Dearborn, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 274-7540.

Jae Yong Kim is licensed to practice in Michigan (license number 4301507485) 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 1497287635.

Contact Information

Jae Yong Kim, MD
1922 Monroe St,
Dearborn, MI 48124-2917
(313) 274-7540
Not Available



Physician's Profile

Full NameJae Yong Kim
GenderMale
SpecialityOphthalmology
Location1922 Monroe St, Dearborn, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1497287635
  • Provider Enumeration Date: 03/28/2017
  • Last Update Date: 02/12/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6507265642
  • Enrollment ID: I20220727000371

Medical Identifiers

Medical identifiers for Jae Yong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497287635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology A171816 (California)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
207W00000XOphthalmology 4301507485 (Michigan)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. Jae Yong Kim allows following entities to bill medicare on his behalf.
Entity NameBlue Sky Vision Eye Care Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801977202
PECOS PAC ID: 8820065618
Enrollment ID: O20050225000498

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Entity NameUniversity Physician Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447299797
PECOS PAC ID: 8628087681
Enrollment ID: O20060419000518

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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. Jae 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
Jae Yong Kim, MD
1922 Monroe St,
Dearborn, MI 48124-2917

Ph: () -
Jae Yong Kim, MD
1922 Monroe St,
Dearborn, MI 48124-2917

Ph: (313) 274-7540

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Ophthalmology Doctors in Dearborn, MI

Stanley Chase Grandon, M.D.
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 15212 Michigan Ave, Dearborn, MI 48126
Phone: 313-582-8856    Fax: 313-582-8265
Dr. Kyle Welburn, DO
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-593-7000    
Dr. Asheesh Tewari, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 25230 Michigan Ave, Dearborn, MI 48124
Phone: 134-412-2273    Fax: 313-441-2241
Donald C Fiander, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 25325 Ford Rd, Suite 200, Dearborn, MI 48128
Phone: 313-357-3006    Fax: 313-724-2455
Inna Bondira, DO
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-593-7000    
John Denis Roarty, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 22731 Newman, Suite 245, Dearborn, MI 48124
Phone: 313-561-1777    Fax: 313-561-8044
James Matthew Todaro, M.D.
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 18101 Oakwood Blvd, Dearborn, MI 48124
Phone: 313-593-7000    

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