Angela Jeewon Kim, DO - Medicare Internal Medicine in St Petersburg, FL

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Angela Jeewon Kim, DO is a medicare enrolled "Internal Medicine" physician in St Petersburg, Florida. Her current practice location is 620 10th St N Ste 1e, St Petersburg, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 824-3120.

Angela Jeewon Kim is licensed to practice in Florida (license number OS20164) 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 1093337107.

Contact Information

Angela Jeewon Kim, DO
620 10th St N Ste 1e,
St Petersburg, FL 33705-1407
(727) 824-3120
Not Available

Map and Direction




Physician's Profile

Full NameAngela Jeewon Kim
GenderFemale
SpecialityInternal Medicine
Location620 10th St N Ste 1e, St Petersburg, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093337107
  • Provider Enumeration Date: 05/12/2020
  • Last Update Date: 06/22/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1456772243
  • Enrollment ID: I20230901000564

Medical Identifiers

Medical identifiers for Angela Jeewon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093337107NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 5151014483 (Michigan)Secondary
207R00000XInternal Medicine OS20164 (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. Angela Jeewon Kim allows following entities to bill medicare on her behalf.
Entity NameBaycare Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269871
PECOS PAC ID: 6406753623
Enrollment ID: O20031216000718

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. Angela Jeewon 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 AddressPractice Location Address
Angela Jeewon Kim, DO
620 10th St N Ste 1e,
St Petersburg, FL 33705-1407

Ph: () -		Angela Jeewon Kim, DO
620 10th St N Ste 1e,
St Petersburg, FL 33705-1407

Ph: (727) 824-3120

Reviews and Comments


Internal Medicine Doctors in St Petersburg, FL

Ronald S. Kline, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2150 Pelham Rd N, St Petersburg, FL 33710
Phone: 727-345-0001    
Nandkishor Shah, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6450 38th Ave N, Suite# 100, St Petersburg, FL 33710
Phone: 727-347-2780    Fax: 727-347-5508
Francisco Jesus Rey, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5425 Park St N Ste 7w, St Petersburg, FL 33709
Phone: 727-202-8140    Fax: 727-202-8252
David A. Weiland Jr., M.D.
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 701 6th St S, St Petersburg, FL 33701
Phone: 727-823-1234    Fax: 727-893-6930
Dr. Rakesh Mittal, MD, PHD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 5880 49th St N, Suite N105, St Petersburg, FL 33709
Phone: 727-527-0797    Fax: 727-528-7703
Dr. Lilian Enyonam Ahiable, M.D
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7111 1st Ave S, St Petersburg, FL 33707
Phone: 727-300-2282    Fax: 727-321-2680
Dr. Alia Celeste Sommerville, D.O., MSC.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6000 49th St N, Northside Hospital, St Petersburg, FL 33709
Phone: 727-521-5057    Fax: 727-521-5022

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.