Ena Kim, MD is a medicare enrolled "Family Medicine" physician in Desert Hot Springs, California. Her current practice location is
12560 Palm Dr, Desert Hot Springs, California. You can reach out to her office (for appointments etc.) via phone at
(760) 251-3401.
Ena Kim is licensed to practice in California (license number A191837) 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 1225628928.
Physician's Profile
Full Name | Ena Kim |
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Gender | Female |
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Speciality | Family Medicine |
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Location | 12560 Palm Dr, Desert Hot Springs, 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: 1225628928
- Provider Enumeration Date: 01/26/2021
- Last Update Date: 10/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810429677
- Enrollment ID: I20241017002044
Medical Identifiers
Medical identifiers for Ena Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225628928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | A191837 (California) | 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. Ena Kim allows following entities to bill medicare on her behalf.
Entity Name | Desert Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246 |
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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. Ena 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 |
Ena Kim, MD 275 N El Cielo Rd, Palm Springs, CA 92262-6972 Ph: (760) 325-3642 | Ena Kim, MD 12560 Palm Dr, Desert Hot Springs, CA 92240-4570 Ph: (760) 251-3401 |
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