John Kim, DO in Nellis Afb, NV - Medicare Hospitalist

John Kim, DO is a medicare enrolled "Hospitalist" physician in Nellis Afb, Nevada. His current practice location is 4700 Las Vegas Blvd N, Nellis Afb, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 652-2750.

John Kim is licensed to practice in Virginia (license number 0102205486) 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 1104209550.

Contact Information

	John Kim, DO
	4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600
	(702) 652-2750
	Not Available

Physician's Profile

Full Name	John Kim
Gender	Male
Speciality	Hospitalist
Location	4700 Las Vegas Blvd N, Nellis Afb, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104209550
Provider Enumeration Date: 07/02/2015
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 9830435593
Enrollment ID: I20190116004085

Medical Identifiers

Medical identifiers for John Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104209550	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	DO3595 (Nevada)	Secondary
207R00000X	Internal Medicine	0102205486 (Virginia)	Secondary
208M00000X	Hospitalist	DO3595 (Nevada)	Secondary
208M00000X	Hospitalist	0102205486 (Virginia)	Primary

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. John 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 Address	Practice Location Address
John Kim, DO 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2273	John Kim, DO 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 652-2750

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John Kim, DO - Medicare Hospitalist in Nellis Afb, NV