Alice Hae Lee Kim, PA-C is a medicare enrolled "Physician Assistant" in La Crescenta, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Huntington Orthopedic Surgical Group and her current practice location is
2843 Piedmont Ave, La Crescenta, California. You can reach out to her office (for appointments etc.) via phone at
(818) 649-4872.
Alice Hae Lee Kim is licensed to practice in * (Not Available) (license number ) 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 1548758618.
Provider's Profile
| Full Name | Alice Hae Lee Kim |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 6 Years |
|---|
| Location | 2843 Piedmont Ave, La Crescenta, California |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Alice Hae Lee Kim graduated from nursing school in 2018
NPI Data:
- NPI Number: 1548758618
- Provider Enumeration Date: 04/24/2018
- Last Update Date: 10/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103174081
- Enrollment ID: I20180809000598
Medical Identifiers
Medical identifiers for Alice Hae Lee Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548758618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Huntington Orthopedic Surgical Group | 8224026596 | 16 |
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. Alice Hae Lee 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 |
|---|
Alice Hae Lee Kim, PA-C
2843 Piedmont Ave,
La Crescenta, CA 91214-3836
Ph: (818) 649-4872 | Alice Hae Lee Kim, PA-C
2843 Piedmont Ave,
La Crescenta, CA 91214-3836
Ph: (818) 649-4872 |
Reviews and Comments