Seo Ho Kim, - Medicare Physician Assistant in Lawrenceville, GA

Seo Ho Kim, is a medicare enrolled "Physician Assistant" in Lawrenceville, Georgia. She went to Mercer University School Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice North Metropolitan Radiology Associates Llp and her current practice location is 1000 Medical Center Blvd, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 312-1000.

Seo Ho Kim is licensed to practice in Georgia (license number 10451) 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 1104490093.

Contact Information

Seo Ho Kim,
1000 Medical Center Blvd,
Lawrenceville, GA 30046-7694
(678) 312-1000
Not Available



Provider's Profile

Full NameSeo Ho Kim
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location1000 Medical Center Blvd, Lawrenceville, Georgia
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:
  • Seo Ho Kim attended and graduated from Mercer University School Of Medicine in 2021
  NPI Data:
  • NPI Number: 1104490093
  • Provider Enumeration Date: 05/17/2021
  • Last Update Date: 01/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052799368
  • Enrollment ID: I20220527000444

Medical Identifiers

Medical identifiers for Seo Ho Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104490093NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10451 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital GwinnettLawrenceville, GAHospital
Northside HospitalAtlanta, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Metropolitan Radiology Associates Llp721482556134

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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. Seo Ho 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
Seo Ho Kim,
1000 Medical Center Blvd,
Lawrenceville, GA 30046-7694

Ph: () -
Seo Ho Kim,
1000 Medical Center Blvd,
Lawrenceville, GA 30046-7694

Ph: (678) 312-1000

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Physician Assistant Nurses in Lawrenceville, GA

Michael Olton Johnson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 377 W Pike St # A3-2, Lawrenceville, GA 30046
Phone: 470-461-7031    Fax: 770-502-6820
Ms. Andrea Peyton Moe, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046
Phone: 678-312-4357    
Brooke Anne Saliba,
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1025 Country Walk Ct, Lawrenceville, GA 30043
Phone: 770-686-4107    
Danna-grace Boyd Wagers,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Medical Center Blvd Ste 400, Lawrenceville, GA 30046
Phone: 770-758-7482    
Ms. Lashonda Kenya Bloodsaw-scott, P.A.
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1735 N Brown Raod, Health Care Partners, Lawrenceville, GA 30043
Phone: 352-383-4505    Fax: 678-218-4041
Cassidy Rose Heflin, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 631 Professional Dr Ste 170, Lawrenceville, GA 30046
Phone: 678-312-2663    Fax: 770-962-8587
Emily Wetzel Dye,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1990 Riverside Pkwy, Lawrenceville, GA 30043
Phone: 678-306-2212    

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