Ellen Sohyun Kim, MD in Loma Linda, CA - Medicare Internal Medicine

Ellen Sohyun Kim, MD is a medicare enrolled "Internal Medicine" physician in Loma Linda, California. She went to Loma Linda University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Faculty Physicians And Surgeons Of Llusm and her current practice location is 11234 Anderson St # Mc-1516, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (909) 558-4884.

Ellen Sohyun Kim is licensed to practice in California (license number A167810) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912249400.

Contact Information

	Ellen Sohyun Kim, MD
	11234 Anderson St # Mc-1516, Loma Linda, CA 92354-2804
	(909) 558-4884
	(909) 558-0428

Map and Direction

Physician's Profile

Full Name	Ellen Sohyun Kim
Gender	Female
Speciality	Internal Medicine
Experience	11 Years
Location	11234 Anderson St # Mc-1516, Loma Linda, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ellen Sohyun Kim attended and graduated from Loma Linda University School Of Medicine in 2013

NPI Data:

NPI Number: 1912249400
Provider Enumeration Date: 03/22/2013
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 4082848064
Enrollment ID: I20220719003856

Medical Identifiers

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

Identifier	Type	State	Issuer
1912249400	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	35127918 (Ohio)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207R00000X	Internal Medicine	A167810 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Loma Linda University Medical Center	Loma linda, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Faculty Physicians And Surgeons Of Llusm	1153227814	1065

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. Ellen Sohyun Kim allows following entities to bill medicare on her behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196

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. Ellen Sohyun 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
Ellen Sohyun Kim, MD 11234 Anderson St # Mc-1516, Loma Linda, CA 92354-2804 Ph: (909) 558-4884	Ellen Sohyun Kim, MD 11234 Anderson St # Mc-1516, Loma Linda, CA 92354-2804 Ph: (909) 558-4884

Reviews and Comments

Internal Medicine Doctors in Loma Linda, CA

Petru Papacostea, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Dr. Moosa Azadian, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4085
Douglas Wang, Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson Street, Gme Office Westerly Suite C, Loma Linda, CA 92354 Phone: 909-558-4174
Dr. Lynnetta E Skoretz, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 11201 Benton Street, #111h, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3280
Shahab Sean Shahangian, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 818-532-8211
Mst Nurjahan Khatun, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 11234 Anderson St # C, Loma Linda, CA 92354 Phone: 408-355-8650
Snorri Olafsson, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 11370 Anderson St, Ste 3150, Loma Linda, CA 92354 Phone: 909-558-2191

Ellen Sohyun Kim, MD - Medicare Internal Medicine in Loma Linda, CA