Soo Y Kim, MD - Medicare Gastroenterology in Fresno, CA

Soo Y Kim, MD is a medicare enrolled "Internal Medicine - Gastroenterology" physician in Fresno, California. She went to Michigan State University College Of Osteopathic Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Gastroenterology. She is a member of the group practice Community Foundation Medical Group and her current practice location is 1187 E Herndon Ave, #101, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 440-0450.

Soo Y Kim is licensed to practice in California (license number G86091) 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 1205924800.

Contact Information

Soo Y Kim, MD
1187 E Herndon Ave, #101,
Fresno, CA 93720-3166
(559) 440-0450
(559) 440-0460



Physician's Profile

Full NameSoo Y Kim
GenderFemale
SpecialityGastroenterology
Experience34 Years
Location1187 E Herndon Ave, Fresno, California
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:
  • Soo Y Kim attended and graduated from Michigan State University College Of Osteopathic Medicine in 1990
  NPI Data:
  • NPI Number: 1205924800
  • Provider Enumeration Date: 10/10/2006
  • Last Update Date: 05/23/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 2961565452
  • Enrollment ID: I20090220000235

Medical Identifiers

Medical identifiers for Soo Y Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205924800NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology G86091 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Clovis Community Medical CenterClovis, CAHospital
Saint Agnes Medical CenterFresno, CAHospital
Community Regional Medical CenterFresno, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Foundation Medical Group0345406294263

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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. Soo Y Kim allows following entities to bill medicare on her behalf.
Entity NameCommunity Foundation Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811258510
PECOS PAC ID: 0345406294
Enrollment ID: O20120723000387

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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. Soo Y 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
Soo Y Kim, MD
1187 E Herndon Ave, #101,
Fresno, CA 93720-3166

Ph: (559) 440-0450
Soo Y Kim, MD
1187 E Herndon Ave, #101,
Fresno, CA 93720-3166

Ph: (559) 440-0450

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Internal Medicine Doctors in Fresno, CA

Maulik Shah, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 7300 N Fresno St, Fresno, CA 93720
Phone: 559-448-4555    
Rami Alrezk, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 155 N Fresno St, Fresno, CA 93701
Phone: 559-499-6479    
Dr. John R Nelson, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 7061 N Whitney, Suite 101, Fresno, CA 93720
Phone: 559-299-0224    Fax: 559-299-4201
Dexter T Estrada, M.D.
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 7130 N Millbrook Ave Ste 100, Fresno, CA 93720
Phone: 559-326-1222    Fax: 559-326-1230
Dr. Sherry Lopez, D.O.
Gastroenterology
Medicare: Medicare Enrolled
Practice Location: 3209 W Shaw Ave, Suite 114, Fresno, CA 93711
Phone: 559-224-4977    Fax: 559-224-4980
Maria Flordeliz Arambulo, MD
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 2823 Fresno St, Fresno, CA 93721
Phone: 559-499-6484    Fax: 559-499-6501
Shreela Mishra,
Gastroenterology
Medicare: Accepting Medicare Assignments
Practice Location: 7085 N Chestnut Ave Ste 101, Fresno, CA 93720
Phone: 559-323-9236    Fax: 559-323-0294

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