Erica E Kim, NP in Moreno Valley, CA - Medicare Nurse Practitioner

Erica E Kim, NP is a medicare enrolled "Nurse Practitioner - Family" in Moreno Valley, California. Her current practice location is 27640 Eucalyptus Ave, Moreno Valley, California. You can reach out to her office (for appointments etc.) via phone at (951) 243-2200.

Erica E Kim is licensed to practice in California (license number 95009336) 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 1124500087.

Contact Information

	Erica E Kim, NP
	27640 Eucalyptus Ave, Moreno Valley, CA 92555-4557
	(951) 243-2200
	Not Available

Map and Direction

Provider's Profile

Full Name	Erica E Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	27640 Eucalyptus Ave, Moreno Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124500087
Provider Enumeration Date: 09/06/2018
Last Update Date: 09/06/2018

Medicare PECOS Information:

PECOS PAC ID: 6406220557
Enrollment ID: I20230313002343

Medical Identifiers

Medical identifiers for Erica E Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124500087	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95009336 (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. Erica E Kim allows following entities to bill medicare on her behalf.

Entity Name	Pacific Dermatology Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740410182 PECOS PAC ID: 2062546260 Enrollment ID: O20100810000288

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. Erica 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
Erica E Kim, NP 93 Kansas St Apt 208, Redlands, CA 92373-1470 Ph: (425) 308-5917	Erica E Kim, NP 27640 Eucalyptus Ave, Moreno Valley, CA 92555-4557 Ph: (951) 243-2200

Reviews and Comments

Nurse Practitioner Nurses in Moreno Valley, CA

Lajean Avon Forbes, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St, Suite 7, Moreno Valley, CA 92553 Phone: 951-924-6824 Fax: 951-601-9302
Susan Launa Weeks, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-5162 Fax: 818-843-5224
Mfon-obong Nseuwa Etukudoh, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 888-743-7526
Magen Ashley Costilla, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 26600 Cactus Ave Ste 300, Moreno Valley, CA 92555 Phone: 951-988-9500
Holly Vanderhyde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12364 Perris Blvd, Moreno Valley, CA 92557 Phone: 605-209-6421
Mrs. Vanessa Renee Smith Constantino, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 25970 Iris Ave Ste 3b, Moreno Valley, CA 92551 Phone: 951-924-2775
Lloydette H Brewah, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14934 Tarragon Way, Moreno Valley, CA 92553 Phone: 951-269-0542

Erica E Kim, NP - Medicare Nurse Practitioner in Moreno Valley, CA