Faith Shinna Kim, MD in New York, NY

Faith Shinna Kim, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in New York, New York. Her current practice location is 3959 Broadway Ph 17, New York, New York. You can reach out to her office (for appointments etc.) via phone at (757) 892-4018.

Faith Shinna Kim is licensed to practice in New York (license number 309522-01) 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 1245641943.

Contact Information

	Faith Shinna Kim, MD
	3959 Broadway Ph 17, New York, NY 10032-1559
	(757) 892-4018
	Not Available

Map and Direction

Physician's Profile

Full Name	Faith Shinna Kim
Gender	Female
Speciality	Pediatrics - Neonatal-perinatal Medicine
Location	3959 Broadway Ph 17, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245641943
Provider Enumeration Date: 05/15/2014
Last Update Date: 12/27/2023

Medicare PECOS Information:

PECOS PAC ID: 9638446263
Enrollment ID: I20210728002181

Medical Identifiers

Medical identifiers for Faith Shinna Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245641943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	MD460768 (Pennsylvania)	Secondary
2080N0001X	Pediatrics - Neonatal-perinatal Medicine	309522-01 (New York)	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. Faith Shinna Kim allows following entities to bill medicare on her behalf.

Entity Name	Lawrence Medical Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023257441 PECOS PAC ID: 1759439631 Enrollment ID: O20090504000017

Entity Name	Trustees Of Columbia University In The City Of New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613

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. Faith Shinna 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
Faith Shinna Kim, MD 800 Park Ave Apt 3009, Fort Lee, NJ 07024-3780 Ph: (757) 892-4018	Faith Shinna Kim, MD 3959 Broadway Ph 17, New York, NY 10032-1559 Ph: (757) 892-4018

Reviews and Comments

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Faith Shinna Kim, MD - Medicare Pediatrics in New York, NY