Marisa Esther Lee Kim, MD - Medicare Internal Medicine in Bristol, CT

Marisa Esther Lee Kim, MD is a medicare enrolled "Internal Medicine" physician in Bristol, Connecticut. She graduated from medical school in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Bristol Hospital Multi-specialty Group, Inc. and her current practice location is 61 Bradley St, Bristol, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 584-8021.

Marisa Esther Lee Kim is licensed to practice in Connecticut (license number 61896) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144670639.

Contact Information

Marisa Esther Lee Kim, MD
61 Bradley St,
Bristol, CT 06010-5103
(860) 584-8021
Not Available



Physician's Profile

Full NameMarisa Esther Lee Kim
GenderFemale
SpecialityInternal Medicine
Experience11 Years
Location61 Bradley St, Bristol, Connecticut
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marisa Esther Lee Kim graduated from medical school in 2013
  NPI Data:
  • NPI Number: 1144670639
  • Provider Enumeration Date: 06/15/2016
  • Last Update Date: 07/08/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1254665797
  • Enrollment ID: I20190703000044

Medical Identifiers

Medical identifiers for Marisa Esther Lee Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144670639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 61896 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bristol HospitalBristol, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Bristol Hospital Multi-specialty Group, Inc.9032014758114

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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. Marisa Esther Lee Kim allows following entities to bill medicare on her behalf.
Entity NameBristol Hospital Multi-specialty Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649265679
PECOS PAC ID: 9032014758
Enrollment ID: O20031204000960

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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. Marisa Esther Lee 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
Marisa Esther Lee Kim, MD
61 Bradley St,
Bristol, CT 06010-5103

Ph: (860) 584-8021
Marisa Esther Lee Kim, MD
61 Bradley St,
Bristol, CT 06010-5103

Ph: (860) 584-8021

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Internal Medicine Doctors in Bristol, CT

Ronald S Green, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 25 Newell Rd, Suite E-36, Bristol, CT 06010
Phone: 860-583-9252    Fax: 860-585-9848
Daniel Norman Smiley, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25 Newell Rd, Suite E-36, Bristol, CT 06010
Phone: 860-583-9252    Fax: 860-585-9848
Dr. Michael Owen Richards, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 41 Brewster Rd, Bristol, CT 06010
Phone: 860-585-3000    
Michael Stephen Ptaszynski, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 25 Newell Rd, #d-25, Bristol, CT 06010
Phone: 860-314-6020    Fax: 860-314-6024
Dr. Robert C Debiase, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 25 Newell Rd, Suite D24, Bristol, CT 06010
Phone: 860-582-3235    Fax: 860-582-0692
Dr. Nandini Ravindra Menon, M.D
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 123 Maple St, Bristol, CT 06010
Phone: 860-584-8021    Fax: 860-584-9021
Christopher Wakem, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 44 Brewster Road, Hem/oncology Dept., Level A, Bristol, CT 06010
Phone: 860-585-3000    Fax: 860-585-3907

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