1145 S UTICA AVE SUITE 202
TULSA, OK 74104-4000 US PECOS Enrolled
Overview
Dae Y Kim is a Urologist in the TULSA area and has over 17 years of experience. Dae Y Kim primary office location is at 1145 S UTICA AVE and new patients are welcome to contact this healthcare provider for an appointment. He attended State University Of New York At Buffalo School Of Medicine and graduated 2007
Dae Y Kim is affiliated with five hospitals in the TULSA area, including HILLCREST HOSPITAL CLAREMORE. The NPI number is 1003000597 and the information was updated approximately 9 years ago.
Dae Y Kim is part of two medical groups, including CREEK NATION HOSPITAL AND CLINICS.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| 31577 | OK |
| Board Certifications |
|---|
| Urology |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 324649801 (MDACC) | TX |
| BCBS | 8EB319 (MDACC) | TX |
| Taxonomy | State | Primary? |
|---|---|---|
| Urologist - Taxonomy Code 208800000X | OK | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | I20150912000130 |
| PECOS Individual PAC ID: | 4082848189 |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | Yes |
| Eligible to order/refer Power Mobility Devices (PMD) | Yes |
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