Tae Eung J Kim, MD - Medicare Emergency Medicine in Corona, CA

Tae Eung J Kim, MD is a medicare enrolled "Emergency Medicine" physician in Corona, California. He went to University Of Michigan Medical School and graduated in 2000 and has 24 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Corona Regional Emergency Medical Associates Inc and his current practice location is 800 S Main St, Corona, California. You can reach out to his office (for appointments etc.) via phone at (951) 737-4343.

Tae Eung J Kim is licensed to practice in California (license number A77385) 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 1730108689.

Contact Information

Tae Eung J Kim, MD
800 S Main St,
Corona, CA 92882
(951) 737-4343
Not Available



Physician's Profile

Full NameTae Eung J Kim
GenderMale
SpecialityEmergency Medicine
Experience24 Years
Location800 S Main St, Corona, California
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:
  • Tae Eung J Kim attended and graduated from University Of Michigan Medical School in 2000
  NPI Data:
  • NPI Number: 1730108689
  • Provider Enumeration Date: 07/19/2006
  • Last Update Date: 10/11/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8527192491
  • Enrollment ID: I20100813000353

Medical Identifiers

Medical identifiers for Tae Eung J Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730108689NPI-NPPES
00A773850MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine A77385 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Corona Regional Medical CenterCorona, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Corona Regional Emergency Medical Associates Inc913348148414

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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. Tae Eung J Kim allows following entities to bill medicare on his behalf.
Entity NameSt Jude Emergency Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720190804
PECOS PAC ID: 8224923479
Enrollment ID: O20040217001064

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Entity NameCorona Regional Emergency Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134629298
PECOS PAC ID: 9133481484
Enrollment ID: O20180326001396

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Entity NameTelemedicine365, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912525817
PECOS PAC ID: 0648683920
Enrollment ID: O20210105001789

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Entity NameTae Eung Jack Kim Md A Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265141626
PECOS PAC ID: 9638540198
Enrollment ID: O20230119001681

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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. Tae Eung J 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
Tae Eung J Kim, MD
407 W Imperial Hwy Ste H,
Brea, CA 92821-4803

Ph: (844) 996-3763
Tae Eung J Kim, MD
800 S Main St,
Corona, CA 92882

Ph: (951) 737-4343

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Emergency Medicine Doctors in Corona, CA

David M Bear, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 800 S Main St, Corona, CA 92882
Phone: 909-736-6241    
Jason M Fisher, M.D
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 S Main St, Corona, CA 92882
Phone: 909-736-6241    
Luis Villegas,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 S Main St, Corona, CA 92882
Phone: 951-737-4343    
James Bernard Boyd, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 800 S Main St, Corona, CA 92882
Phone: 909-736-6241    
Louis T Chau, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 S Main St, Corona, CA 92882
Phone: 909-736-6241    Fax: 909-736-6283
Nancy Marie Chung, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2815 S Main St Ste 110, Corona, CA 92882
Phone: 951-278-8385    Fax: 951-278-2930
Tam Thanh Dang, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 800 S Main St, Corona, CA 92882
Phone: 951-737-4343    

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