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. |
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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: I20240725000583
Medical Identifiers
Medical identifiers for Vanda Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1942450697 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 78829 (California) | 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. Vanda Kim allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154994846
PECOS PAC ID: 1850774746
Enrollment ID: O20220809004080 |
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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 |
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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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