Elden H Kim, FNP in Dublin, CA - Medicare Nurse Practitioner

Elden H Kim, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dublin, California. His current practice location is 4766 Calcagno Ct, Dublin, California. You can reach out to his office (for appointments etc.) via phone at (415) 961-4555.

Elden H Kim is licensed to practice in California (license number 95024265) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1942907514.

Contact Information

	Elden H Kim, FNP
	4766 Calcagno Ct, Dublin, CA 94568-4264
	(415) 961-4555
	Not Available

Map and Direction

Provider's Profile

Full Name	Elden H Kim
Gender	Male
Speciality	Nurse Practitioner - Family
Location	4766 Calcagno Ct, Dublin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942907514
Provider Enumeration Date: 02/14/2023
Last Update Date: 02/14/2023

Medicare PECOS Information:

PECOS PAC ID: 6901270180
Enrollment ID: I20230330001410

Medical Identifiers

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

Identifier	Type	State	Issuer
1942907514	NPI	-	NPPES
D4049136	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95024265 (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. Elden H Kim allows following entities to bill medicare on his behalf.

Entity Name	Pacific Family Medicine Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356723605 PECOS PAC ID: 9739496076 Enrollment ID: O20150917003150

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. Elden H 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
Elden H Kim, FNP 4766 Calcagno Ct, Dublin, CA 94568-4264 Ph: (415) 961-4555	Elden H Kim, FNP 4766 Calcagno Ct, Dublin, CA 94568-4264 Ph: (415) 961-4555

Reviews and Comments

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Elden H Kim, FNP - Medicare Nurse Practitioner in Dublin, CA