Haena Kim, MD in San Jose, CA - Medicare Otolaryngology

Haena Kim, MD is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in San Jose, California. Her current practice location is 455 Oconnor Dr Ste 280, San Jose, California. You can reach out to her office (for appointments etc.) via phone at (650) 507-3601.

Haena Kim is licensed to practice in California (license number A126331) 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 1275799124.

Contact Information

	Haena Kim, MD
	455 Oconnor Dr Ste 280, San Jose, CA 95128-1644
	(650) 507-3601
	(650) 396-7922

Map and Direction

Physician's Profile

Full Name	Haena Kim
Gender	Female
Speciality	Otolaryngology - Facial Plastic Surgery
Location	455 Oconnor Dr Ste 280, San Jose, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275799124
Provider Enumeration Date: 07/31/2008
Last Update Date: 08/25/2025

Medicare PECOS Information:

PECOS PAC ID: 7113182460
Enrollment ID: I20130807000150

Medical Identifiers

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

Identifier	Type	State	Issuer
1275799124	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207YS0123X	Otolaryngology - Facial Plastic Surgery	A126331 (California)	Primary
207YX0905X	Otolaryngology - Otolaryngology/facial Plastic Surgery	MD207073 (Oregon)	Secondary

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. Haena Kim allows following entities to bill medicare on her behalf.

Entity Name	John Muir Trauma Physicians Billing Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093864837 PECOS PAC ID: 3476542515 Enrollment ID: O20050420001452

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. Haena 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
Haena Kim, MD 455 Oconnor Dr Ste 280, San Jose, CA 95128-1644 Ph: (650) 507-3601	Haena Kim, MD 455 Oconnor Dr Ste 280, San Jose, CA 95128-1644 Ph: (650) 507-3601

Reviews and Comments

Otolaryngology Doctors in San Jose, CA

Dr. Hussein Amirali Samji, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2577 Samaritan Dr Ste 765, San Jose, CA 95124 Phone: 408-358-6163 Fax: 408-358-2302
Jason A. Biller, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 260 International Cir, San Jose, CA 95119 Phone: 408-972-7000
Dr. Richard J. Trevino, M.D. Otolaryngology Medicare: May Accept Medicare Assignments Practice Location: 227 N Jackson Ave Ste 235, San Jose, CA 95116 Phone: 408-926-5300 Fax: 408-926-5395
Mary Lauren Lalakea, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 751 S Bascom Ave, Ent Department, San Jose, CA 95128 Phone: 408-885-6767
Michelle M. Inserra, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 3071 Payne Ave, San Jose, CA 95128 Phone: 408-540-5400 Fax: 408-540-5419
Mauro B Ruffy, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2585 Samaritan Dr, San Jose, CA 95124 Phone: 408-871-3400

Haena Kim, MD - Medicare Otolaryngology in San Jose, CA