Chaehyeon Lim Damko, in Irvine, CA - Medicare Nurse Practitioner

Chaehyeon Lim Damko, is a medicare enrolled "Nurse Practitioner - Family" in Irvine, California. Her current practice location is 17585 Harvard Ave Ste D, Irvine, California. You can reach out to her office (for appointments etc.) via phone at (858) 554-1212.

Chaehyeon Lim Damko is licensed to practice in California (license number NP95026116) 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 1215717343.

Contact Information

	Chaehyeon Lim Damko,
	17585 Harvard Ave Ste D, Irvine, CA 92614-8545
	(858) 554-1212
	Not Available

Map and Direction

Provider's Profile

Full Name	Chaehyeon Lim Damko
Gender	Female
Speciality	Nurse Practitioner - Family
Location	17585 Harvard Ave Ste D, 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: 1215717343
Provider Enumeration Date: 10/05/2023
Last Update Date: 05/11/2024

Medicare PECOS Information:

PECOS PAC ID: 0345699658
Enrollment ID: I20231212003348

Medical Identifiers

Medical identifiers for Chaehyeon Lim Damko such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215717343	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95026116 (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. Chaehyeon Lim Damko allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of Orange County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104013879 PECOS PAC ID: 5991868929 Enrollment ID: O20090116000214

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

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. Chaehyeon Lim Damko 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
Chaehyeon Lim Damko, 17585 Harvard Ave Ste D, Irvine, CA 92614-8545 Ph: (858) 554-1212	Chaehyeon Lim Damko, 17585 Harvard Ave Ste D, Irvine, CA 92614-8545 Ph: (858) 554-1212

Reviews and Comments

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Alice Kwon-song, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15825 Laguna Canyon Rd Ste 104, Irvine, CA 92618 Phone: 949-585-9870
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Chaehyeon Lim Damko, - Medicare Nurse Practitioner in Irvine, CA