Boyoung Kim, PA-C in Jackson, MI - Medicare Physician Assistant

Boyoung Kim, PA-C is a medicare enrolled "Physician Assistant - Medical" in Jackson, Michigan. Her current practice location is 1055 Laurence Ave, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 273-4343.

Boyoung Kim is licensed to practice in Michigan (license number 5601012203) 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 1316634173.

Contact Information

	Boyoung Kim, PA-C
	1055 Laurence Ave, Jackson, MI 49202-2964
	(517) 273-4343
	Not Available

Map and Direction

Provider's Profile

Full Name	Boyoung Kim
Gender	Female
Speciality	Physician Assistant - Medical
Location	1055 Laurence Ave, Jackson, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316634173
Provider Enumeration Date: 04/21/2023
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 8729422811
Enrollment ID: I20240216001122

Medical Identifiers

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

Identifier	Type	State	Issuer
1316634173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	5601012203 (Michigan)	Primary

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. Boyoung 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
Boyoung Kim, PA-C 2732 Barclay Way, Ann Arbor, MI 48105-9458 Ph: (734) 709-3908	Boyoung Kim, PA-C 1055 Laurence Ave, Jackson, MI 49202-2964 Ph: (517) 273-4343

Reviews and Comments

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Boyoung Kim, PA-C - Medicare Physician Assistant in Jackson, MI