Jolene Kim, DO - Medicare Family Practice in Shawnee, KS

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Jolene Kim, DO is a medicare enrolled "Family Medicine" physician in Shawnee, Kansas. She went to Kansas City University Of Med & Biosciences, College Of Osteo Med and graduated in 2017 and has 7 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Jayhawk Primary Care Inc and her current practice location is 7405 Renner Rd, Shawnee, Kansas. You can reach out to her office (for appointments etc.) via phone at (913) 588-8465.

Jolene Kim is licensed to practice in Kansas (license number 05-43555) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063932051.

Contact Information

Jolene Kim, DO
7405 Renner Rd,
Shawnee, KS 66217-9414
(913) 588-8465
Not Available

Map and Direction




Physician's Profile

Full NameJolene Kim
GenderFemale
SpecialityFamily Practice
Experience7 Years
Location7405 Renner Rd, Shawnee, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jolene Kim attended and graduated from Kansas City University Of Med & Biosciences, College Of Osteo Med in 2017
  NPI Data:
  • NPI Number: 1063932051
  • Provider Enumeration Date: 06/21/2017
  • Last Update Date: 07/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6204105695
  • Enrollment ID: I20201027003030

Medical Identifiers

Medical identifiers for Jolene Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063932051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2017020109 (Missouri)Secondary
207Q00000XFamily Medicine 05-43555 (Kansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Kansas HospitalKansas city, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Jayhawk Primary Care Inc8123928900144

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. Jolene Kim allows following entities to bill medicare on her behalf.
Entity NameJayhawk Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528025053
PECOS PAC ID: 8123928900
Enrollment ID: O20050721001078

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. Jolene 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
Jolene Kim, DO
7405 Renner Rd,
Shawnee, KS 66217-9414

Ph: (913) 588-8465		Jolene Kim, DO
7405 Renner Rd,
Shawnee, KS 66217-9414

Ph: (913) 588-8465

Reviews and Comments


Family Medicine Doctors in Shawnee, KS

Maria Palmeri, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6345 Long Ave, Shawnee, KS 66216
Phone: 913-631-6400    Fax: 913-631-6868
Girma T. Assefa, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7405 Renner Rd, Shawnee, KS 66217
Phone: 913-588-2200    Fax: 816-737-0477
Dr. Nicholas Joseph Michalski, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 11644 W 75th St, Suite 3, Shawnee, KS 66214
Phone: 913-962-4004    Fax: 913-962-6817
Dr. Philip Eugene Martin, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6815 Hilltop Rd, Ste 100, Shawnee, KS 66226
Phone: 913-632-9600    Fax: 913-632-9695
Dr. Joseph B Noland, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7405 Renner Rd, Shawnee, KS 66217
Phone: 913-588-8400    Fax: 913-588-2496
Phyllis L. Sullivan, DO
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7405 Renner Rd, Ku Medwest, Shawnee, KS 66217
Phone: 913-588-8400    Fax: 913-588-8413

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.