Susan C Kim, MD - Medicare Pediatrics in Meridian, ID

Susan C Kim, MD is a medicare enrolled "Pediatrics" physician in Meridian, Idaho. Her current practice location is 3280 E Lanark Dr, Meridian, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 377-4400.

Susan C Kim is licensed to practice in Idaho (license number M6493) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1265478531.

Contact Information

Susan C Kim, MD
3280 E Lanark Dr,
Meridian, ID 83642-5982
(208) 377-4400
(208) 377-4416



Physician's Profile

Full NameSusan C Kim
GenderFemale
SpecialityPediatrics
Location3280 E Lanark Dr, Meridian, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265478531
  • Provider Enumeration Date: 06/22/2006
  • Last Update Date: 08/20/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880789981
  • Enrollment ID: I20071004000485

Medical Identifiers

Medical identifiers for Susan C Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265478531NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics M6493 (Idaho)Primary

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. Susan C Kim allows following entities to bill medicare on her behalf.
Entity NameSaint Alphonsus Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649357716
PECOS PAC ID: 3476462359
Enrollment ID: O20040204001036

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Entity NameAlliance Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568413920
PECOS PAC ID: 3971544685
Enrollment ID: O20050512000561

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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. Susan C 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
Susan C Kim, MD
Po Box 191050,
Boise, ID 83719-1050

Ph: (208) 955-6500
Susan C Kim, MD
3280 E Lanark Dr,
Meridian, ID 83642-5982

Ph: (208) 377-4400

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› Verified 6 days ago


Pediatrics Doctors in Meridian, ID

Kristina Miles, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3277 E Louise Dr Ste 200, Meridian, ID 83642
Phone: 208-463-3000    
Mrs. Anne E. Riffle, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 3653 N. Locust Grove Road, Meridian, ID 83646
Phone: 208-338-5437    Fax: 208-939-9811
Robert F Adams, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 520 S Eagle Rd, Meridian, ID 83642
Phone: 208-336-9188    
Joshua Edwin Albright,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1620 S Celebration Ave, Meridian, ID 83642
Phone: 208-884-1030    
Lisa M. Barker, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1620 S Celebration Ave, Meridian, ID 83642
Phone: 208-884-1030    
Dr. Brian C Birch, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2921 S Meridian Rd, Meridian, ID 83642
Phone: 208-297-7847    Fax: 208-203-0097

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