Jin K Kim, MD in Cupertino, CA - Medicare Preventive Medicine

Jin K Kim, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Cupertino, California. His current practice location is 10050 N Wolfe Rd Ste Sw1190, Cupertino, California. You can reach out to his office (for appointments etc.) via phone at (408) 236-6400.

Jin K Kim is licensed to practice in California (license number A62489) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1760561401.

Contact Information

	Jin K Kim, MD
	10050 N Wolfe Rd Ste Sw1190, Cupertino, CA 95014-2595
	(408) 236-6400
	Not Available

Map and Direction

Physician's Profile

Full Name	Jin K Kim
Gender	Male
Speciality	Preventive Medicine - Occupational Medicine
Location	10050 N Wolfe Rd Ste Sw1190, Cupertino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760561401
Provider Enumeration Date: 11/03/2006
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 4183803513
Enrollment ID: I20110131000991

Medical Identifiers

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

Identifier	Type	State	Issuer
1760561401	NPI	-	NPPES
00A624890	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083X0100X	Preventive Medicine - Occupational Medicine	A62489 (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. Jin K Kim allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jin K 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
Jin K Kim, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262	Jin K Kim, MD 10050 N Wolfe Rd Ste Sw1190, Cupertino, CA 95014-2595 Ph: (408) 236-6400

Reviews and Comments

Preventive Medicine Doctors in Cupertino, CA

Roy K. Wong, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 10050 N Wolfe Rd Ste Sw1190, Cupertino, CA 95014 Phone: 408-236-6400
Liliana C. Sackett, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 10050 N Wolfe Rd Ste Sw1190, Cupertino, CA 95014 Phone: 408-236-6400
Jerome A. Chester, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 10050 N Wolfe Rd Ste Sw1190, Cupertino, CA 95014 Phone: 408-236-6160
Robert V. Wachs, MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 10050 N Wolfe Rd Ste Sw1190, Cupertino, CA 95014 Phone: 408-236-6400

Jin K Kim, MD - Medicare Preventive Medicine in Cupertino, CA