Dong-young Kim, FNP in Maxton, NC - Medicare Nurse Practitioner

Dong-young Kim, FNP is a medicare enrolled "Nurse Practitioner - Family" in Maxton, North Carolina. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Banner Churchill Community Hospital and her current practice location is 610 E Dr Martin Luther King Jr Dr, Maxton, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 844-5253.

Dong-young Kim is licensed to practice in Texas (license number AP135782) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912414731.

Contact Information

	Dong-young Kim, FNP
	610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800
	(910) 844-5253
	(910) 844-3290

Map and Direction

Provider's Profile

Full Name	Dong-young Kim
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	610 E Dr Martin Luther King Jr Dr, Maxton, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dong-young Kim graduated from nursing school in 2017

NPI Data:

NPI Number: 1912414731
Provider Enumeration Date: 01/02/2018
Last Update Date: 01/02/2018

Medicare PECOS Information:

PECOS PAC ID: 5496017394
Enrollment ID: I20230719002477

Medical Identifiers

Medical identifiers for Dong-young Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912414731	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP135782 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Kindred At Home	Galena, NV	Home health agency
Banner Churchill Community Hospital	Fallon, NV	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Banner Churchill Community Hospital	9638080500	18

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. Dong-young Kim allows following entities to bill medicare on her behalf.

Entity Name	Banner Churchill Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265811251 PECOS PAC ID: 9638080500 Enrollment ID: O20040701000826

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. Dong-young 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
Dong-young Kim, FNP 60 Commerce Plaza Cir, Pembroke, NC 28372-7386 Ph: (910) 521-2900	Dong-young Kim, FNP 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364-1800 Ph: (910) 844-5253

Reviews and Comments

Nurse Practitioner Nurses in Maxton, NC

Nikia Delores Ritchie, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364 Phone: 910-844-5253 Fax: 910-844-3290
Angela Pruitt Fields, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364 Phone: 910-844-5253
Katelynn Clark, DNP-FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 114 Cabinet Shop Rd, Maxton, NC 28364 Phone: 910-785-5351
Tina Harris Jacobs, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 610 E Martin Luther King Jr Dr, Maxton, NC 28364 Phone: 910-844-5253 Fax: 910-844-3290
Breeonna Leigh Lowry, NP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 610 E Dr Martin Luther King Jr Dr, Maxton, NC 28364 Phone: 910-844-5253 Fax: 910-844-3290

Dong-young Kim, FNP - Medicare Nurse Practitioner in Maxton, NC