Amy Jung In Kim, MD in Port Orange, FL

Amy Jung In Kim, MD is a medicare enrolled "Pediatrics" physician in Port Orange, Florida. Her current practice location is 5440 S Williamson Blvd Unit 104, Port Orange, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 425-1313.

Amy Jung In Kim is licensed to practice in Florida (license number 161610) 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 1518594647.

Contact Information

	Amy Jung In Kim, MD
	5440 S Williamson Blvd Unit 104, Port Orange, FL 32128-7422
	(386) 425-1313
	Not Available

Map and Direction

Physician's Profile

Full Name	Amy Jung In Kim
Gender	Female
Speciality	Pediatrics
Location	5440 S Williamson Blvd Unit 104, Port Orange, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518594647
Provider Enumeration Date: 03/26/2020
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 2860823481
Enrollment ID: I20230802004343

Medical Identifiers

Medical identifiers for Amy Jung In Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518594647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	161610 (Florida)	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. Amy Jung In Kim allows following entities to bill medicare on her behalf.

Entity Name	Halifax Healthcare Systems Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245283530 PECOS PAC ID: 1254238090 Enrollment ID: O20031218000443

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. Amy Jung In 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
Amy Jung In Kim, MD 5440 S Williamson Blvd Fl 32128, Port Orange, FL 32128-7422 Ph: () -	Amy Jung In Kim, MD 5440 S Williamson Blvd Unit 104, Port Orange, FL 32128-7422 Ph: (386) 425-1313

Reviews and Comments

Pediatrics Doctors in Port Orange, FL

Ruben J Lopez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1728 Dunlawton Ave, Suite 1, Port Orange, FL 32127 Phone: 386-322-5390 Fax: 386-322-5391
Dr. Kerry Diane Thek, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1690 Dunlawton Ave Ste 120, Port Orange, FL 32127 Phone: 386-677-0531 Fax: 386-673-4658
Dr. Madiey F. Lawindy, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 900 N Swallowtail Dr, Suite # 106, Port Orange, FL 32129 Phone: 386-304-1919 Fax: 386-304-1918
Neena P Chopra, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 633 Dunlawton Avenue, Port Orange, FL 32127 Phone: 386-756-1937 Fax: 386-756-4257

Amy Jung In Kim, MD - Medicare Pediatrics in Port Orange, FL