Jungwon Kim, LMFT in Orange, CA - Medicare Marriage & Family Therapist Provider

Jungwon Kim, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Orange, California. Her current practice location is 701 S Parker St Ste 2800, Orange, California. You can reach out to her office (for appointments etc.) via phone at (925) 282-1778.

Jungwon Kim is licensed to practice in California (license number 113142) 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 1649609447.

Contact Information

	Jungwon Kim, LMFT
	701 S Parker St Ste 2800, Orange, CA 92868-4720
	(925) 282-1778
	(415) 296-5299

Map and Direction

Healthcare Provider's Profile

Full Name	Jungwon Kim
Gender	Female
Speciality	Marriage & Family Therapist
Location	701 S Parker St Ste 2800, Orange, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649609447
Provider Enumeration Date: 11/02/2013
Last Update Date: 07/18/2024

Medicare PECOS Information:

PECOS PAC ID: 0042757536
Enrollment ID: I20240801002634

Medical Identifiers

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

Identifier	Type	State	Issuer
1649609447	NPI	-	NPPES
F1409566	Other	CA	DRIVER'S LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	113142 (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. Jungwon Kim allows following entities to bill medicare on her behalf.

Entity Name	Pacific Coast Psychiatric Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023125465 PECOS PAC ID: 2567469174 Enrollment ID: O20061024000383

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. Jungwon 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
Jungwon Kim, LMFT 701 S Parker St Ste 2800, Orange, CA 92868-4720 Ph: (925) 282-1778	Jungwon Kim, LMFT 701 S Parker St Ste 2800, Orange, CA 92868-4720 Ph: (925) 282-1778

Reviews and Comments

Marriage & Family Therapist in Orange, CA

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Juan Galaviz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 301 The City Dr S Fl 2, Orange, CA 92868 Phone: 714-935-6363
Mr. David Lee, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4000 W Metropolitan Dr Ste 401, Orange, CA 92868 Phone: 714-834-4707

Jungwon Kim, LMFT - Medicare Couples Therapy in Orange, CA