Jisoo Kim, - Medicare Radiology in Boston, MA

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Jisoo Kim, is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Boston, Massachusetts. Her current practice location is 75 Francis St, Boston, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (617) 732-5500.

Jisoo Kim is licensed to practice in Massachusetts (license number 281745) 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 1770939399.

Contact Information

Jisoo Kim,
75 Francis St,
Boston, MA 02115-6110
(617) 732-5500
Not Available

Map and Direction




Physician's Profile

Full NameJisoo Kim
GenderFemale
SpecialityRadiology - Diagnostic Radiology
Location75 Francis St, Boston, Massachusetts
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770939399
  • Provider Enumeration Date: 05/12/2016
  • Last Update Date: 06/23/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9133410798
  • Enrollment ID: I20220711000115

Medical Identifiers

Medical identifiers for Jisoo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770939399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 125.069009 (Illinois)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology 281745 (Massachusetts)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. Jisoo Kim allows following entities to bill medicare on her behalf.
Entity NameMassachusetts General Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801874573
PECOS PAC ID: 2466365820
Enrollment ID: O20031111000434
Entity NameCd Practice Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295787919
PECOS PAC ID: 2567359839
Enrollment ID: O20040302000290
Entity NameThe Mclean Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114979580
PECOS PAC ID: 9436040961
Enrollment ID: O20040323001228
Entity NameHarbor Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124079561
PECOS PAC ID: 2466356209
Enrollment ID: O20040719000954
Entity NameCooley Dickinson Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477596310
PECOS PAC ID: 8123090560
Enrollment ID: O20040806001098
Entity NameThe General Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023049236
PECOS PAC ID: 6507803806
Enrollment ID: O20080313000351
Entity NameBrigham & Womens Physicians Organization Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260

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. Jisoo 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 AddressPractice Location Address
Jisoo Kim,
75 Francis St,
Boston, MA 02115-6110

Ph: (617) 732-5500		Jisoo Kim,
75 Francis St,
Boston, MA 02115-6110

Ph: (617) 732-5500

Reviews and Comments


Radiology Doctors in Boston, MA

Jennifer Michelle Thomas, MD
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Practice Location: 75 Francis St, Department Of Radiology, Boston, MA 02115
Phone: 617-732-6248    
Dr. Meghavi Mashar, MB BCHIR
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Practice Location: 330 Brookline Ave, Boston, MA 02215
Phone: 617-667-7000    
Rafeeque A Bhadelia, M.D
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Phone: 617-754-2058    Fax: 617-754-2004
Dr. Srinivasan Mukundan Jr., M.D.
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Medicare: Medicare Enrolled
Practice Location: 75 Francis St, Brigham And Women's Hospital, Boston, MA 02115
Phone: 617-732-7260    
Raymond W Liu, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 55 Fruit St, Grb 293, Boston, MA 02114
Phone: 917-923-2079    
Dr. Hillary R. Kelly, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: Massachusetts General Hospital, 55 Fruit Street, Grb-273a, Boston, MA 02114
Phone: 617-726-8320    Fax: 617-724-3338
Dr. Tina Young Poussaint, MD
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Medicare: May Accept Medicare Assignments
Practice Location: 300 Longwood Ave, Boston, MA 02115
Phone: 617-355-6450    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.