Kristen Kim, in Maywood, NJ - Medicare Social Worker Provider

Kristen Kim, is a medicare enrolled "Social Worker - Clinical" provider in Maywood, New Jersey. Her current practice location is 87 Rte 17 N, Ste 118, Maywood, New Jersey. You can reach out to her office (for appointments etc.) via phone at (551) 996-4450.

Kristen Kim is licensed to practice in New Jersey (license number 44SC06275700) 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 1356114623.

Contact Information

	Kristen Kim,
	87 Rte 17 N, Ste 118, Maywood, NJ 07607
	(551) 996-4450
	(551) 996-5729

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Kim
Gender	Female
Speciality	Social Worker - Clinical
Location	87 Rte 17 N, Maywood, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356114623
Provider Enumeration Date: 10/30/2023
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0244677342
Enrollment ID: I20240326000013

Medical Identifiers

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

Identifier	Type	State	Issuer
1356114623	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	44SC06275700 (New Jersey)	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. Kristen Kim allows following entities to bill medicare on her behalf.

Entity Name	Hackensack Meridian Health Medical Group - Specialty Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215989249 PECOS PAC ID: 9133032519 Enrollment ID: O20031111000524

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. Kristen 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
Kristen Kim, 374 Lafayette Ave Apt A, Cliffside Park, NJ 07010-2026 Ph: () -	Kristen Kim, 87 Rte 17 N, Ste 118, Maywood, NJ 07607 Ph: (551) 996-4450

Reviews and Comments

Social Worker in Maywood, NJ

Pamela Garcia, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 240 Prospect Ave Apt 2f, Maywood, NJ 07607 Phone: 201-290-3001
Ms. Suzanne Amy Kaufman, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 87 Route 17 North, Maywood, NJ 07607 Phone: 551-996-4450 Fax: 551-996-5729
Ms. Bonnie Lyn Freirich, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 87 Route 17 North, Maywood, NJ 07607 Phone: 551-996-4450 Fax: 551-996-5729
Ms. Jennifer Kathryn Millard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 109 E Central Ave, Maywood, NJ 07607 Phone: 973-420-9890
Eileen Ann Ortiga Carmona, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 240 W Passaic St, Maywood, NJ 07607 Phone: 201-817-5747

Kristen Kim, - Medicare Clinical Social Worker in Maywood, NJ