Amity Nichole Kim, in Fairfax, VA - Medicare Social Worker Provider

Amity Nichole Kim, is a medicare enrolled "Social Worker - School" provider in Fairfax, Virginia. Her current practice location is 8270 Willow Oaks Corporate Dr, Fairfax, Virginia. You can reach out to her office (for appointments etc.) via phone at (571) 423-4300.

Amity Nichole Kim is licensed to practice in Virginia (license number PPS-0605635) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548764780.

Contact Information

	Amity Nichole Kim,
	8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511
	(571) 423-4300
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amity Nichole Kim
Gender	Female
Speciality	Social Worker - School
Location	8270 Willow Oaks Corporate Dr, Fairfax, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548764780
Provider Enumeration Date: 03/21/2018
Last Update Date: 05/29/2023

Medicare PECOS Information:

PECOS PAC ID: 3678932928
Enrollment ID: I20230705000194

Medical Identifiers

Medical identifiers for Amity Nichole Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548764780	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	0904015257 (Virginia)	Secondary
1041S0200X	Social Worker - School	PPS-0605635 (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. Amity Nichole Kim allows following entities to bill medicare on her behalf.

Entity Name	Safe Harbor Behavioral Care Of Northern Virginia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043660905 PECOS PAC ID: 0446531040 Enrollment ID: O20161219001684

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. Amity Nichole 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 Address	Practice Location Address
Amity Nichole Kim, 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 Ph: () -	Amity Nichole Kim, 8270 Willow Oaks Corporate Dr, Fairfax, VA 22031-4511 Ph: (571) 423-4300

Reviews and Comments

Social Worker in Fairfax, VA

Ms. Diana Marcela Diaz, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2740 Prosperity Ave Ste 200, Fairfax, VA 22031 Phone: 703-321-2687
Cherelle Monea' Washington, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8280 Willow Oaks Corporate Dr Ste 600, Fairfax, VA 22031 Phone: 415-424-4266 Fax: 415-520-6633
Trisha Marie Hindy Burks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000
Mrs. Irene Carol Ilachinski, L.C.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10400 Eaton Pl, Ste 200, Fairfax, VA 22030 Phone: 703-497-1771 Fax: 703-497-1225
Ms. Sandra M Mansfield, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8550 Lee Highway, Suite 300, Fairfax, VA 22031 Phone: 703-207-2810 Fax: 703-207-2838
Anna Lee Koozmin, MSW, LCSW, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-324-7100
Julia Lynn Converse, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031 Phone: 703-559-3000

Amity Nichole Kim, - Medicare Clinical Social Worker in Fairfax, VA