Diane Kim, APRN in San Diego, CA - Medicare Nurse Practitioner

Diane Kim, APRN is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 501 Washington St, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 278-3300.

Diane Kim is licensed to practice in California (license number NP 17889) 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 1114100526.

Contact Information

	Diane Kim, APRN
	501 Washington St, San Diego, CA 92103-2231
	(619) 278-3300
	Not Available

Map and Direction

Provider's Profile

Full Name	Diane Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	501 Washington St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114100526
Provider Enumeration Date: 12/07/2007
Last Update Date: 08/21/2023

Medicare PECOS Information:

PECOS PAC ID: 5799130001
Enrollment ID: I20231005003690

Medical Identifiers

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

Identifier	Type	State	Issuer
1114100526	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP 17889 (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. Diane Kim allows following entities to bill medicare on her behalf.

Entity Name	Scripps Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275899072 PECOS PAC ID: 9234033853 Enrollment ID: O20031124000822

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. Diane 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
Diane Kim, APRN 10790 Rancho Bernardo Rd, San Diego, CA 92127-5705 Ph: (619) 278-3300	Diane Kim, APRN 501 Washington St, San Diego, CA 92103-2231 Ph: (619) 278-3300

Reviews and Comments

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Diane Kim, APRN - Medicare Nurse Practitioner in San Diego, CA