Jong Kim, MD in Pomona, CA - Medicare Family Medicine

Jong Kim, MD is a medicare enrolled "Family Medicine - Addiction Medicine" physician in Pomona, California. His current practice location is 831 E Arrow Hwy, Pomona, California. You can reach out to his office (for appointments etc.) via phone at (909) 828-2338.

Jong Kim is licensed to practice in California (license number A163105) 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 1417477183.

Contact Information

	Jong Kim, MD
	831 E Arrow Hwy, Pomona, CA 91767-2535
	(909) 828-2338
	Not Available

Map and Direction

Physician's Profile

Full Name	Jong Kim
Gender	Male
Speciality	Family Medicine - Addiction Medicine
Location	831 E Arrow Hwy, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417477183
Provider Enumeration Date: 06/23/2017
Last Update Date: 06/10/2024

Medicare PECOS Information:

PECOS PAC ID: 2264859800
Enrollment ID: I20200827003886

Medical Identifiers

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

Identifier	Type	State	Issuer
1417477183	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	A163105 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207QA0401X	Family Medicine - Addiction Medicine	A163105 (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. Jong Kim allows following entities to bill medicare on his behalf.

Entity Name	Dagmar I Liepa
Entity Type	Practitioner - General Practice
Entity Identifiers	NPI Number: 1881742047 PECOS PAC ID: 6901700525 Enrollment ID: I20031124000851

Entity Name	County Of Ventura
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629167457 PECOS PAC ID: 7911810171 Enrollment ID: O20031112000587

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. Jong 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
Jong Kim, MD 5448 W 118th Pl, Inglewood, CA 90304-1034 Ph: () -	Jong Kim, MD 831 E Arrow Hwy, Pomona, CA 91767-2535 Ph: (909) 828-2338

Reviews and Comments

Family Medicine Doctors in Pomona, CA

Mohamed Elsharkawy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 Phone: 909-469-9494 Fax: 909-469-2120
Mr. Wilbert Timothy Tsai, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1900 Royalty Dr Ste 250, Pomona, CA 91767 Phone: 909-623-6581 Fax: 909-623-1751
Christopher Joseph Edward Harper, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 160 E Artesia St Ste 220, Pomona, CA 91767 Phone: 909-865-1020 Fax: 909-620-1090
Dr. Steven A Destefano, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3801 W Temple Ave, 46, Pomona, CA 91768 Phone: 909-869-4000 Fax: 909-869-4561
Christine Kwon, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 Phone: 909-469-9494 Fax: 909-469-2120
April Michelle Ford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 790 E Bonita Ave, 2nd Floor, Pomona, CA 91767 Phone: 909-447-8585 Fax: 909-447-8593
Keith Kusunis, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1770 N Orange Grove Ave Ste 101, Pomona, CA 91767 Phone: 909-469-9494 Fax: 909-469-2120

Jong Kim, MD - Medicare Family Medicine in Pomona, CA