Dr Cristina L Kim, DNP, PNP in San Diego, CA - Medicare Nurse Practitioner

Dr Cristina L Kim, DNP, PNP is a medicare enrolled "Nurse Practitioner - Pediatrics" in San Diego, California. Her current practice location is 4060 Fairmount Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 280-7072.

Dr Cristina L Kim is licensed to practice in California (license number 95012722) 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 1780233098.

Contact Information

	Dr Cristina L Kim, DNP, PNP
	4060 Fairmount Ave, San Diego, CA 92105-1608
	(619) 280-7072
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Cristina L Kim
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	4060 Fairmount Ave, 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: 1780233098
Provider Enumeration Date: 09/09/2019
Last Update Date: 01/08/2024

Medicare PECOS Information:

PECOS PAC ID: 0143666941
Enrollment ID: I20240315000529

Medical Identifiers

Medical identifiers for Dr Cristina L Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780233098	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95012722 (California)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	95012722 (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. Dr Cristina L Kim allows following entities to bill medicare on her behalf.

Entity Name	La Maestra Family Clinic, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306929443 PECOS PAC ID: 7113968512 Enrollment ID: O20050516000901

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. Dr Cristina L 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
Dr Cristina L Kim, DNP, PNP 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: (619) 280-7072	Dr Cristina L Kim, DNP, PNP 4060 Fairmount Ave, San Diego, CA 92105-1608 Ph: (619) 280-7072

Reviews and Comments

Nurse Practitioner Nurses in San Diego, CA

Lorena Marie Fujii, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Dr, San Diego, CA 92134 Phone: 619-532-8910
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Amy M Sorgent, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7995 Armour St, San Diego, CA 92111 Phone: 858-637-4262
Blanca Estela Cardenas, FNP, MSN, PHN, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Camino Del Rio S Ste 204-1, San Diego, CA 92108 Phone: 619-426-9731 Fax: 619-426-9733
Mrs. Andrea S. Higginbotham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 13280 Evening Creek Dr S Ste 225, San Diego, CA 92128 Phone: 877-257-0637

Dr Cristina L Kim, DNP, PNP - Medicare Nurse Practitioner in San Diego, CA