Seong Cheol Kim, MD in St Cloud, FL - Medicare General Practice

Seong Cheol Kim, MD is a medicare enrolled "General Practice" physician in St Cloud, Florida. His current practice location is 2647 Meadowwedge Loop, St Cloud, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 793-4608.

Seong Cheol Kim is licensed to practice in Michigan (license number 4301039276) 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 1457351702.

Contact Information

	Seong Cheol Kim, MD
	2647 Meadowwedge Loop, St Cloud, FL 34772
	(407) 793-4608
	(269) 651-1411

Physician's Profile

Full Name	Seong Cheol Kim
Gender	Male
Speciality	General Practice
Location	2647 Meadowwedge Loop, St Cloud, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457351702
Provider Enumeration Date: 07/28/2005
Last Update Date: 11/17/2023

Medicare PECOS Information:

PECOS PAC ID: 5193619179
Enrollment ID: I20040211000050

Medical Identifiers

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

Identifier	Type	State	Issuer
1457351702	NPI	-	NPPES
4542300	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	039276 (Michigan)	Secondary
208D00000X	General Practice	SK039276 (Michigan)	Secondary
208D00000X	General Practice	4301039276 (Michigan)	Primary
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	039276 (Michigan)	Secondary

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. Seong Cheol 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
Seong Cheol Kim, MD 2647 Meadowwedge Loop, St Cloud, FL 34772 Ph: (407) 793-4608	Seong Cheol Kim, MD 2647 Meadowwedge Loop, St Cloud, FL 34772 Ph: (407) 793-4608

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Seong Cheol Kim, MD - Medicare General Practice in St Cloud, FL