Soo Y Kim, MD - Medicare Pediatrics in Highland, CA

Soo Y Kim, MD is a medicare enrolled "Pediatrics" physician in Highland, California. Her current practice location is 7000 Boulder Ave, Highland, California. You can reach out to her office (for appointments etc.) via phone at (909) 862-1191.

Soo Y Kim is licensed to practice in California (license number A61217) 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 1295763423.

Contact Information

Soo Y Kim, MD
7000 Boulder Ave,
Highland, CA 92346-3348
(909) 862-1191
Not Available

Map and Direction




Physician's Profile

Full NameSoo Y Kim
GenderFemale
SpecialityPediatrics
Location7000 Boulder Ave, Highland, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295763423
  • Provider Enumeration Date: 06/28/2006
  • Last Update Date: 01/26/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6002707544
  • Enrollment ID: I20040323001328

Medical Identifiers

Medical identifiers for Soo Y Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295763423NPI-NPPES
00A612170MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics A61217 (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. Soo Y Kim allows following entities to bill medicare on her behalf.
Entity NameBeaver Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649503319
PECOS PAC ID: 0547164295
Enrollment ID: O20031124000449
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205009917
PECOS PAC ID: 1153227814
Enrollment ID: O20031211000981
Entity NameFaculty Physicians And Surgeons Of Llusm
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508255175
PECOS PAC ID: 1153227814
Enrollment ID: O20160216002196

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 Y 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
Soo Y Kim, MD
Po Box 10069,
San Bernardino, CA 92423-0069

Ph: (909) 335-4188
Soo Y Kim, MD
7000 Boulder Ave,
Highland, CA 92346-3348

Ph: (909) 862-1191

Reviews and Comments


Pediatrics Doctors in Highland, CA

Elizabeth Theriault Lion, MD
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Practice Location: 4240 Highland Ave, Highland, CA 92346
Phone: 909-864-4700    Fax: 909-864-4300
Atalie M Lim, MD, MBBS
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Practice Location: 4240 Highland Ave, Highland, CA 92346
Phone: 909-864-4700    Fax: 909-425-4195
Dr. Gerald R. Greene, MD
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Medicare: Medicare Enrolled
Practice Location: 7000 Boulder Ave, Highland, CA 92346
Phone: 909-862-1191    Fax: 909-796-4158
Dr. Arthur R. Goyne, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 7000 Boulder Ave, Highland, CA 92346
Phone: 909-862-1191    Fax: 909-796-4158
Dr. Renata Swanston, D.O.
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Medicare: Medicare Enrolled
Practice Location: 7000 Boulder Ave, Highland, CA 92346
Phone: 909-862-1191    

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.