Soo Jeong Kim, MD in New York, NY

Soo Jeong Kim, MD is a medicare enrolled "Urology - Pediatric Urology" physician in New York, New York. Her current practice location is 3959 Broadway, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 305-9918.

Soo Jeong Kim is licensed to practice in New York (license number 315881) 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 1306264320.

Contact Information

	Soo Jeong Kim, MD
	3959 Broadway, New York, NY 10032-1559
	(212) 305-9918
	Not Available

Map and Direction

Physician's Profile

Full Name	Soo Jeong Kim
Gender	Female
Speciality	Urology - Pediatric Urology
Location	3959 Broadway, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306264320
Provider Enumeration Date: 04/07/2014
Last Update Date: 10/26/2022

Medicare PECOS Information:

PECOS PAC ID: 6406217520
Enrollment ID: I20230804001230

Medical Identifiers

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

Identifier	Type	State	Issuer
1306264320	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2088P0231X	Urology - Pediatric Urology	315881 (New York)	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. Soo Jeong Kim allows following entities to bill medicare on her behalf.

Entity Name	Trustees Of Columbia University In The City Of New York
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508266347 PECOS PAC ID: 8527972546 Enrollment ID: O20151201002613

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. Soo Jeong 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
Soo Jeong Kim, MD 161 Fort Washington Ave Fl 11, New York, NY 10032-3729 Ph: (212) 305-0114	Soo Jeong Kim, MD 3959 Broadway, New York, NY 10032-1559 Ph: (212) 305-9918

Reviews and Comments

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Soo Jeong Kim, MD - Medicare Urology in New York, NY