Andy Young Jin Kim, NP is a medicare enrolled "Nurse Practitioner" physician in Charlotte, North Carolina. He graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Carolinas Physicians Network Inc and his current practice location is
101 E W T Harris Blvd, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 863-9850.
Andy Young Jin Kim is licensed to practice in North Carolina (license number 5012016) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1023661014.
Physician's Profile
| Full Name | Andy Young Jin Kim |
|---|
| Gender | Male |
|---|
| Speciality | Nurse Practitioner |
|---|
| Experience | 6 Years |
|---|
| Location | 101 E W T Harris Blvd, Charlotte, North Carolina |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Andy Young Jin Kim graduated from medical school in 2018
NPI Data:
- NPI Number: 1023661014
- Provider Enumeration Date: 07/19/2019
- Last Update Date: 07/15/2024
Medicare PECOS Information:
- PECOS PAC ID: 5597097196
- Enrollment ID: I20191031001913
Medical Identifiers
Medical identifiers for Andy Young Jin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023661014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | 5012016 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5012016 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Carolinas Physicians Network Inc | 3375449655 | 1649 |
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. Andy Young Jin Kim allows following entities to bill medicare on his behalf.
| Entity Name | Carolinas Physicians Network Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1477878890
PECOS PAC ID: 3375449655
Enrollment ID: O20031219000455 |
|---|
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. Andy Young Jin 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 |
|---|
Andy Young Jin Kim, NP
Po Box 19305,
Charlotte, NC 28219-9305
Ph: () - | Andy Young Jin Kim, NP
101 E W T Harris Blvd,
Charlotte, NC 28262-3485
Ph: (704) 863-9850 |
Reviews and Comments