Vanda Kim, is a medicare enrolled "Social Worker - Clinical" provider in Elmira, California. Her current practice location is
5416 Holdener Road, Elmira, California. You can reach out to her office (for appointments etc.) via phone at
(707) 453-6227.
Vanda Kim is licensed to practice in California (license number 78829) 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 1942450697.
Healthcare Provider's Profile
Full Name | Vanda Kim |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 5416 Holdener Road, Elmira, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1942450697
- Provider Enumeration Date: 09/30/2008
- Last Update Date: 08/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 7618201948
- Enrollment ID: I20190620001354
Medical Identifiers
Medical identifiers for Vanda Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942450697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 78829 (California) | Primary |
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. Vanda 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 |
Vanda Kim, 961 Sandemara Street, Sacramento, CA 95838 Ph: (707) 453-6227 | Vanda Kim, 5416 Holdener Road, Elmira, CA 95625 Ph: (707) 453-6227 |
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