Se Yun Kim, LSW in Chicago, IL - Medicare Counselor Provider

Se Yun Kim, LSW is a medicare enrolled "Counselor - Mental Health" provider in Chicago, Illinois. His current practice location is 1 E Erie St Ste 525, #413, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 241-7464.

Se Yun Kim is licensed to practice in Illinois (license number 150108804) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205553021.

Contact Information

	Se Yun Kim, LSW
	1 E Erie St Ste 525, #413, Chicago, IL 60611
	(773) 241-7464
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Se Yun Kim
Gender	Male
Speciality	Counselor - Mental Health
Location	1 E Erie St Ste 525, Chicago, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205553021
Provider Enumeration Date: 10/24/2022
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 1850757840
Enrollment ID: I20230517002002

Medical Identifiers

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

Identifier	Type	State	Issuer
1205553021	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	150108804 (Illinois)	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. Se Yun Kim allows following entities to bill medicare on his behalf.

Entity Name	American Indian Health Service Of Chicago Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760572671 PECOS PAC ID: 8325026834 Enrollment ID: O20040712000289

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. Se Yun 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
Se Yun Kim, LSW 1 E Erie St Ste 525, #413, Chicago, IL 60611 Ph: () -	Se Yun Kim, LSW 1 E Erie St Ste 525, #413, Chicago, IL 60611 Ph: (773) 241-7464

Reviews and Comments

Counselor in Chicago, IL

Ms. Rachel Leigh Greenspan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1101 W Adams St, Chicago, IL 60607 Phone: 312-318-8105 Fax: 312-666-4656
Herbert T Cobbs, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4740 N Clark St, Chicago, IL 60640 Phone: 773-769-0205 Fax: 773-765-0794
Jessica Lynn Schultz, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1640 W Roosevelt Rd, Chicago, IL 60608 Phone: 312-996-7457
Michael N Wilson, Counselor Medicare: Medicare Enrolled Practice Location: 1340 S Damen Ave, Chicago, IL 60608 Phone: 312-738-5926 Fax: 312-666-6978
Mrs. Danielle Brandy Webb, LCSW,CADC Counselor Medicare: Medicare Enrolled Practice Location: 4839 W 47th St, Chicago, IL 60638 Phone: 773-735-2345 Fax: 773-735-4025
Mrs. Camila Salvisberg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 N Michigan Ave Ste 1042, Chicago, IL 60611 Phone: 872-529-0607 Fax: 844-601-5947
Ms. Andrea Nicole Good, MSW, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1806 N Damen Ave, Chicago, IL 60647 Phone: 773-270-0469

Se Yun Kim, LSW - Medicare Counselor in Chicago, IL