Individual ProviderCassie KimStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressUniversity Of Texas Health Science Center At Tyler, 11937 U.S. Hwy. 271, Tyler, TX 75708(903) 877-7200PECOS EnrollmentBased on the most recent information from CMS, provider Cassie Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1811780828Provider TypeIndividualFull NameKim, CassieGenderFemaleSole ProprietorNoEnumeration Date5/23/2025Last Updated6/4/2025Contact InformationPractice LocationPractice AddressUniversity Of Texas Health Science Center At Tyler, 11937 U.S. Hwy. 271, Tyler, TX 75708Phone(903) 877-7200FaxUnlisted FaxMailing LocationMailing AddressUniversity Of Texas Health Science Center At Tyler, 11937 U.S. Hwy. 271, Tyler, TX 75708PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer