Dr Ji Su Kim, CRNA, DNP in Philadelphia, PA - Medicare Certified Registered Nurse Anesthetist (crna)

Dr Ji Su Kim, CRNA, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Philadelphia, Pennsylvania. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Of Penn-medical Group, Tower Health Medical Group, Cooper Anesthesia Associates Pc, Rwjbh Observation Associates Llc and her current practice location is 3400 Spruce St, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 349-8310.

Dr Ji Su Kim is licensed to practice in Pennsylvania (license number RN686649) 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 1487216198.

Contact Information

	Dr Ji Su Kim, CRNA, DNP
	3400 Spruce St, Philadelphia, PA 19104-4238
	(215) 349-8310
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Ji Su Kim
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	5 Years
Location	3400 Spruce St, Philadelphia, Pennsylvania
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:

Dr Ji Su Kim graduated from nursing school in 2019

NPI Data:

NPI Number: 1487216198
Provider Enumeration Date: 07/02/2019
Last Update Date: 09/09/2019

Medicare PECOS Information:

PECOS PAC ID: 4789914227
Enrollment ID: I20190925002193

Medical Identifiers

Medical identifiers for Dr Ji Su Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487216198	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	RN686649 (Pennsylvania)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Medical Center	Toms river, NJ	Hospital
Hospital Of Univ Of Pennsylvania	Philadelphia, PA	Hospital
Reading Hospital	West reading, PA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
University Of Penn-medical Group	6204730955	3051
Tower Health Medical Group	7618889213	577
Cooper Anesthesia Associates Pc	1254236672	170
Rwjbh Observation Associates Llc	5193137503	639

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 Ji Su Kim allows following entities to bill medicare on her behalf.

Entity Name	Tower Health Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609291350 PECOS PAC ID: 7618889213 Enrollment ID: O20040311000072

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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 Ji Su 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 Ji Su Kim, CRNA, DNP 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 349-8310	Dr Ji Su Kim, CRNA, DNP 3400 Spruce St, Philadelphia, PA 19104-4238 Ph: (215) 349-8310

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Philadelphia, PA

Victor Abarca, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 5800 Ridge Ave., Philadelphia, PA 19128 Phone: 251-483-9900
Donna Simmers, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2301 E Allegheny Ave, Philadelphia, PA 19134 Phone: 215-291-3000
Catrina Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 800 Spruce St, Philadelphia, PA 19107 Phone: 215-829-5664
Veronica Mooney, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Lauren Bruce, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 101 E Olney Ave, Suite 400, Philadelphia, PA 19120 Phone: 215-456-7000 Fax: 215-254-2599
Mrs. Jaiby V George, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3401 N. Broad Street, Philadelphia, PA 19140 Phone: 215-707-3326 Fax: 215-707-8028
Carlene M Mclaughlin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce St, Philadelphia, PA 19104 Phone: 215-349-8310

Dr Ji Su Kim, CRNA, DNP - Medicare Certified Registered Nurse Anesthetist (crna) in Philadelphia, PA