Vanda Kim, is a medicare enrolled "Social Worker - Clinical" provider in Elmira, California. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sud Specialty Group - Ca and 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
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942450697.
Healthcare Provider's Profile
| Full Name | Vanda Kim |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 17 Years |
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| Location | 5416 Holdener Road, Elmira, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Vanda Kim graduated from medical school in 2008
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 |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sud Specialty Group - Ca | 9537534177 | 5 |
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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| Entity Name | Sud Specialty Group - Ca |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1972138238
PECOS PAC ID: 9537534177
Enrollment ID: O20230412001370 |
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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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