Annie Kim, DNP-FNP in Irvine, CA - Medicare Nurse Practitioner

Annie Kim, DNP-FNP is a medicare enrolled "Nurse Practitioner - Family" in Irvine, California. Her current practice location is 84 Eagle Pt, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (215) 901-5641.

Annie Kim is licensed to practice in California (license number 95025830) 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 1558136465.

Contact Information

	Annie Kim, DNP-FNP
	84 Eagle Pt, Irvine, CA 92604-3348
	(215) 901-5641
	Not Available

Map and Direction

Provider's Profile

Full Name	Annie Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	84 Eagle Pt, Irvine, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558136465
Provider Enumeration Date: 11/20/2023
Last Update Date: 11/20/2023

Medicare PECOS Information:

PECOS PAC ID: 8527409242
Enrollment ID: I20240513002868

Medical Identifiers

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

Identifier	Type	State	Issuer
1558136465	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95171665 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	95025830 (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. Annie Kim allows following entities to bill medicare on her behalf.

Entity Name	City Of Hope Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871886366 PECOS PAC ID: 3779751656 Enrollment ID: O20110720000244

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. Annie 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
Annie Kim, DNP-FNP 84 Eagle Point, Irvine, CA 92604 Ph: (215) 901-5641	Annie Kim, DNP-FNP 84 Eagle Pt, Irvine, CA 92604-3348 Ph: (215) 901-5641

Reviews and Comments

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Annie Kim, DNP-FNP - Medicare Nurse Practitioner in Irvine, CA