Peter Kim, MD - Medicare Neurosurgery in Saint Paul, MN

Peter Kim, MD is a medicare enrolled "Neurological Surgery" physician in Saint Paul, Minnesota. He went to State University Of Ny Upstate Medical University and graduated in 2003 and has 21 years of diverse experience with area of expertise as Neurosurgery. He is a member of the group practice Gillette Childrens Specialty Healthcare, Allina Health System and his current practice location is 200 University Ave E, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 325-2307.

Peter Kim is licensed to practice in Minnesota (license number 54156) 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 1336381185.

Contact Information

Peter Kim, MD
200 University Ave E,
Saint Paul, MN 55101-2507
(651) 325-2307
(651) 229-1713



Physician's Profile

Full NamePeter Kim
GenderMale
SpecialityNeurosurgery
Experience21 Years
Location200 University Ave E, Saint Paul, Minnesota
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:
  • Peter Kim attended and graduated from State University Of Ny Upstate Medical University in 2003
  NPI Data:
  • NPI Number: 1336381185
  • Provider Enumeration Date: 03/25/2009
  • Last Update Date: 06/28/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 5496887465
  • Enrollment ID: I20111222000431

Medical Identifiers

Medical identifiers for Peter Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336381185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207T00000XNeurological Surgery 54156 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Gillette Childrens Specialty HospitalSaint paul, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Gillette Childrens Specialty Healthcare054716921140
Allina Health System45875736133071

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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. Peter Kim allows following entities to bill medicare on his behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460

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Entity NameGillette Childrens Specialty Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225119175
PECOS PAC ID: 0547169211
Enrollment ID: O20040503000485

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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. Peter 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
Peter Kim, MD
200 University Ave E,
Saint Paul, MN 55101-2507

Ph: (651) 325-2307
Peter Kim, MD
200 University Ave E,
Saint Paul, MN 55101-2507

Ph: (651) 325-2307

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Neurological Surgery Doctors in Saint Paul, MN

Dr. Asif Karimbhai Maknojia, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Saint Paul, MN 55101
Phone: 651-495-6600    Fax: 952-883-9677
Nicole Lyons,
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Saint Paul, MN 55101
Phone: 651-254-5151    Fax: 651-254-3123
Steven Elliott Swanson, MD
Neurological Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 225 Smith Ave N, Suite 200, Saint Paul, MN 55102
Phone: 651-241-6550    
Dr. Meysam A Kebriaei, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 347 Smith Ave N Ste 301, Saint Paul, MN 55102
Phone: 651-220-5230    
Alexander Michael Mason, MD
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Saint Paul, MN 55101
Phone: 651-495-6600    Fax: 651-254-3123
Angelique M Ruff, M.D.
Neurological Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 295 Phalen Blvd, Saint Paul, MN 55130
Phone: 651-495-6600    Fax: 952-883-9677

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