Grace Eun Kim, DO is a medicare enrolled "General Practice" physician in Northglenn, Colorado. Her current practice location is
10465 Melody Dr Ste 322, Northglenn, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 934-1842.
Grace Eun Kim is licensed to practice in Colorado (license number 0065467) 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 1205397346.
Physician's Profile
Full Name | Grace Eun Kim |
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Gender | Female |
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Speciality | General Practice |
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Location | 10465 Melody Dr Ste 322, Northglenn, Colorado |
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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: 1205397346
- Provider Enumeration Date: 03/30/2019
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 5890189690
- Enrollment ID: I20220221001302
Medical Identifiers
Medical identifiers for Grace Eun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205397346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | DR.0065467 (Colorado) | Secondary |
208D00000X | General Practice | 0065467 (Colorado) | 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. Grace Eun Kim allows following entities to bill medicare on her behalf.
Entity Name | Forte Health And Wellness Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447888797 PECOS PAC ID: 1456782697 Enrollment ID: O20200504001029 |
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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. Grace Eun 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 |
Grace Eun Kim, DO 15684 E 47th Dr, Denver, CO 80239-5522 Ph: (720) 934-1842 | Grace Eun Kim, DO 10465 Melody Dr Ste 322, Northglenn, CO 80234-4126 Ph: (720) 934-1842 |
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