Taeyong Kim, PT - Medicare Physical Therapist in Elmhurst, NY

Taeyong Kim, PT is a medicare enrolled "Physical Therapist" provider in Elmhurst, New York. His current practice location is 9115 Lamont Ave Apt 2k, Elmhurst, New York. You can reach out to his office (for appointments etc.) via phone at (909) 815-1269.

Taeyong Kim is licensed to practice in Virginia (license number 2305209975) 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 1235597824.

Contact Information

Taeyong Kim, PT
9115 Lamont Ave Apt 2k,
Elmhurst, NY 11373-2731
(909) 815-1269
Not Available



Healthcare Provider's Profile

Full NameTaeyong Kim
GenderMale
SpecialityPhysical Therapist
Location9115 Lamont Ave Apt 2k, Elmhurst, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235597824
  • Provider Enumeration Date: 02/10/2016
  • Last Update Date: 09/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7719274448
  • Enrollment ID: I20211019001107

Medical Identifiers

Medical identifiers for Taeyong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235597824NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 25837 (Maryland)Secondary
225100000XPhysical Therapist 039812 (New York)Secondary
225100000XPhysical Therapist 2305209975 (Virginia)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. Taeyong Kim allows following entities to bill medicare on his behalf.
Provider NameNew Core Wellness Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1891461745
PECOS PAC ID: 9234537606
Enrollment ID: O20211015000756

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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. Taeyong 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
Taeyong Kim, PT
9115 Lamont Ave Apt 2k,
Elmhurst, NY 11373-2731

Ph: (909) 815-1269
Taeyong Kim, PT
9115 Lamont Ave Apt 2k,
Elmhurst, NY 11373-2731

Ph: (909) 815-1269

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Physical Therapist in Elmhurst, NY

Atv Rehab Pt Pc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8540 54th Ave, Elmhurst, NY 11373
Phone: 929-342-9846    
Ms. Nilofer S Keshwani, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373
Phone: 718-334-5970    Fax: 718-334-5958
Sheila Marie Gervise Abadia-dona, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8528 Britton Ave, Elmhurst, NY 11373
Phone: 718-898-2230    
Patrick Lyo, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 5205 Van Loon St, Elmhurst, NY 11373
Phone: 347-220-8195    Fax: 866-202-3177
Rehab One Physical Therapy P C
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8635 Queens Blvd, 1b, Elmhurst, NY 11373
Phone: 718-533-8588    Fax: 718-533-1249
Ms. Marycris Selorio Romarate, P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 8635 Queens Blvd Ste 1b, Elmhurst, NY 11373
Phone: 718-533-1249    
Osama Almanastirly, P.T
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 8535 58th Ave, Elmhurst, NY 11373
Phone: 929-241-7166    

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