Daniel Kim, PA in San Bernardino, CA - Medicare Physician Assistant

Daniel Kim, PA is a medicare enrolled "Physician Assistant" in San Bernardino, California. His current practice location is 1505 W. 17th St, San Bernardino, California. You can reach out to his office (for appointments etc.) via phone at (909) 887-6494.

Daniel Kim is licensed to practice in California (license number PA21292) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1275813370.

Contact Information

	Daniel Kim, PA
	1505 W. 17th St, San Bernardino, CA 92411-2661
	(909) 887-6494
	(909) 887-6043

Map and Direction

Provider's Profile

Full Name	Daniel Kim
Gender	Male
Speciality	Physician Assistant
Location	1505 W. 17th St, San Bernardino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275813370
Provider Enumeration Date: 08/19/2011
Last Update Date: 07/09/2015

Medicare PECOS Information:

PECOS PAC ID: 7214104629
Enrollment ID: I20120125000230

Medical Identifiers

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

Identifier	Type	State	Issuer
1275813370	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA21292 (California)	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. Daniel 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
Daniel Kim, PA 400 N Pepper Ave 205, Colton, CA 92324-1801 Ph: (909) 580-6353	Daniel Kim, PA 1505 W. 17th St, San Bernardino, CA 92411-2661 Ph: (909) 887-6494

Reviews and Comments

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Daniel Kim, PA - Medicare Physician Assistant in San Bernardino, CA