Jinah Kim Pak, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cerritos, California. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Special Service For Groups and her current practice location is
11050 Artesia Blvd Ste F, Cerritos, California. You can reach out to her office (for appointments etc.) via phone at
(562) 860-8838.
Jinah Kim Pak is licensed to practice in California (license number 81188) 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 1780006221.
Healthcare Provider's Profile
| Full Name | Jinah Kim Pak |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 11 Years |
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| Location | 11050 Artesia Blvd Ste F, Cerritos, 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:
- Jinah Kim Pak graduated from medical school in 2013
NPI Data:
- NPI Number: 1780006221
- Provider Enumeration Date: 01/17/2014
- Last Update Date: 12/12/2019
Medicare PECOS Information:
- PECOS PAC ID: 8325308141
- Enrollment ID: I20180215001877
Medical Identifiers
Medical identifiers for Jinah Kim Pak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780006221 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 36711 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | ASW36711 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 81188 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Special Service For Groups | 2769396886 | 30 |
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. Jinah Kim Pak allows following entities to bill medicare on her behalf.
| Entity Name | Special Service For Groups |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952442949
PECOS PAC ID: 2769396886
Enrollment ID: O20031113000561 |
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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. Jinah Kim Pak 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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Jinah Kim Pak, LCSW
11050 Artesia Blvd Ste F,
Cerritos, CA 90703-2542
Ph: (562) 860-8838 | Jinah Kim Pak, LCSW
11050 Artesia Blvd Ste F,
Cerritos, CA 90703-2542
Ph: (562) 860-8838 |
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