Jeffrey D Kim, DO - Medicare Sports Medicine in Erie, PA

Jeffrey D Kim, DO is a medicare enrolled "Family Medicine" physician in Erie, Pennsylvania. He went to University Of New England, College Of Osteo Medicine and graduated in 2003 and has 21 years of diverse experience with area of expertise as Sports Medicine. He is a member of the group practice St Vincent Medical Education And Research Institute Inc and his current practice location is 4247 W Ridge Rd Ste 105, Erie, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (814) 838-2468.

Jeffrey D Kim is licensed to practice in Pennsylvania (license number OS013025) 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 1558311092.

Contact Information

Jeffrey D Kim, DO
4247 W Ridge Rd Ste 105,
Erie, PA 16506-1746
(814) 838-2468
(814) 835-2599



Physician's Profile

Full NameJeffrey D Kim
GenderMale
SpecialitySports Medicine
Experience21 Years
Location4247 W Ridge Rd Ste 105, Erie, Pennsylvania
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:
  • Jeffrey D Kim attended and graduated from University Of New England, College Of Osteo Medicine in 2003
  NPI Data:
  • NPI Number: 1558311092
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 10/05/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 5092808725
  • Enrollment ID: I20070911000342

Medical Identifiers

Medical identifiers for Jeffrey D Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558311092NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QS0010XFamily Medicine - Sports Medicine OS013025 (Pennsylvania)Secondary
207Q00000XFamily Medicine OS013025 (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Vincent HospitalErie, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Vincent Medical Education And Research Institute Inc3870405137258

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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. Jeffrey D Kim allows following entities to bill medicare on his behalf.
Entity NameSt Vincent Medical Education And Research Institute Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902881477
PECOS PAC ID: 3870405137
Enrollment ID: O20031104000576

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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. Jeffrey D 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
Jeffrey D Kim, DO
4247 W Ridge Rd Ste 105,
Erie, PA 16506-1746

Ph: (814) 838-2468
Jeffrey D Kim, DO
4247 W Ridge Rd Ste 105,
Erie, PA 16506-1746

Ph: (814) 838-2468

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Family Medicine Doctors in Erie, PA

Mrs. Marsha Sigrid Dietrich-mclean, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 201 State St, Erie, PA 16550
Phone: 814-877-4922    Fax: 814-877-3622
Matthew Heitzenrater, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 300 State St Ste 401, Erie, PA 16507
Phone: 814-877-5333    Fax: 814-877-5329
Dr. Mary Katherine Lasher, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 2501 W 12th St Ste C4, Erie, PA 16505
Phone: 814-461-6626    
Matthew Alan Potts, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 5515 Peach St, Erie, PA 16509
Phone: 814-864-4031    
David Kruszewski,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 3125 French St, Erie, PA 16504
Phone: 814-456-2047    
Harry Louis Haus, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3823 W 12th St, Erie, PA 16505
Phone: 814-490-3728    
Cecilia T. Urquico, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2501 W 12th St, Suite 1, Erie, PA 16505
Phone: 814-806-1144    Fax: 814-833-0659

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