So Yung Kim, is a medicare enrolled "Social Worker - Clinical" provider in Oakland, California. Her current practice location is
445 Bellevue Ave Ste 202, Oakland, California. You can reach out to her office (for appointments etc.) via phone at
(510) 328-3759.
So Yung Kim is licensed to practice in * (Not Available) (license number ) 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 1093992331.
Healthcare Provider's Profile
Full Name | So Yung Kim |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 445 Bellevue Ave Ste 202, Oakland, 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: 1093992331
- Provider Enumeration Date: 01/29/2008
- Last Update Date: 10/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 9537595277
- Enrollment ID: I20200129000098
Medical Identifiers
Medical identifiers for So Yung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093992331 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. So Yung 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 |
So Yung Kim, 445 Bellevue Ave Ste 202, Oakland, CA 94610-4923 Ph: (510) 328-3759 | So Yung Kim, 445 Bellevue Ave Ste 202, Oakland, CA 94610-4923 Ph: (510) 328-3759 |
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