Eileen E Kim, PA-C is a medicare enrolled "Internal Medicine - Gastroenterology" in Sanford, Florida. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Gastro Md Florida, Llc and her current practice location is
5117 Fiorella Ln, Sanford, Florida. You can reach out to her office (for appointments etc.) via phone at
(407) 489-0800.
Eileen E Kim is licensed to practice in Florida (license number PA9111629) 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 1912474156.
Provider's Profile
| Full Name | Eileen E Kim |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 5117 Fiorella Ln, Sanford, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Eileen E Kim graduated from nursing school in 2018
NPI Data:
- NPI Number: 1912474156
- Provider Enumeration Date: 10/25/2018
- Last Update Date: 04/06/2020
Medicare PECOS Information:
- PECOS PAC ID: 5193056646
- Enrollment ID: I20191014002858
Medical Identifiers
Medical identifiers for Eileen E Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912474156 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | PA9111629 (Florida) | Secondary |
| 207RG0100X | Internal Medicine - Gastroenterology | PA9111629 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Gastro Md Florida, Llc | 2264432558 | 24 |
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. Eileen E 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 |
|---|
Eileen E Kim, PA-C
5117 Fiorella Ln,
Sanford, FL 32771-5449
Ph: (407) 489-0800 | Eileen E Kim, PA-C
5117 Fiorella Ln,
Sanford, FL 32771-5449
Ph: (407) 489-0800 |
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