Heesun Nina Kim, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Bridgeville, Pennsylvania. Her current practice location is
705 Augusta Dr, Bridgeville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(952) 595-1100.
Heesun Nina Kim is licensed to practice in Pennsylvania (license number MD423883) 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 1902965452.
Physician's Profile
Full Name | Heesun Nina Kim |
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Gender | Female |
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Speciality | Radiology - Diagnostic Radiology |
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Location | 705 Augusta Dr, Bridgeville, Pennsylvania |
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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: 1902965452
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 11/03/2015
Medicare PECOS Information:
- PECOS PAC ID: 1951384262
- Enrollment ID: I20040609000204
Medical Identifiers
Medical identifiers for Heesun Nina Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902965452 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2085B0100X | Radiology - Body Imaging | MD423883 (Pennsylvania) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | MD423883 (Pennsylvania) | Primary |
2085U0001X | Radiology - Diagnostic Ultrasound | MD423883 (Pennsylvania) | 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. Heesun Nina Kim allows following entities to bill medicare on her behalf.
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
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Entity Name | Geisinger-hm Joint Venture Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
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Entity Name | Mary Imogene Bassett Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1083664221 PECOS PAC ID: 3779488325 Enrollment ID: O20210105002684 |
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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. Heesun Nina 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 |
Heesun Nina Kim, MD 11995 Singletree Ln, Ste 500, Eden Prairie, MN 55344-5347 Ph: (952) 595-1301 | Heesun Nina Kim, MD 705 Augusta Dr, Bridgeville, PA 15017-3437 Ph: (952) 595-1100 |
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