Dr Jeanne Kim, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Carmichael, California. Her current practice location is
6501 Coyle Ave, Carmichael, California. You can reach out to her office (for appointments etc.) via phone at
(916) 537-5000.
Dr Jeanne 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 1215244736.
Physician's Profile
Full Name | Dr Jeanne Kim |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 6501 Coyle Ave, Carmichael, 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: 1215244736
- Provider Enumeration Date: 09/03/2010
- Last Update Date: 12/20/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800035676
- Enrollment ID: I20130627000238
Medical Identifiers
Medical identifiers for Dr Jeanne Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215244736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207L00000X | Anesthesiology | A115336 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Jeanne Kim allows following entities to bill medicare on her behalf.
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
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Entity Name | Metropolitan Anesthesia Consultants, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184671372 PECOS PAC ID: 6406825439 Enrollment ID: O20040927001182 |
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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. Dr Jeanne 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 |
Dr Jeanne Kim, MD Po Box 7096, Stockton, CA 95267-0096 Ph: (209) 956-7725 | Dr Jeanne Kim, MD 6501 Coyle Ave, Carmichael, CA 95608-0306 Ph: (916) 537-5000 |
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