Eunsun Kim, in Fremont, CA - Medicare Nurse Practitioner

Eunsun Kim, is a medicare enrolled "Nurse Practitioner - Family" in Fremont, California. Her current practice location is 2500 Mowry Avenue, Suite 227, Fremont, California. You can reach out to her office (for appointments etc.) via phone at (510) 248-1600.

Eunsun Kim is licensed to practice in California (license number NP95009190) 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 1508408899.

Contact Information

	Eunsun Kim,
	2500 Mowry Avenue, Suite 227, Fremont, CA 94538
	(510) 248-1600
	(510) 818-8709

Map and Direction

Provider's Profile

Full Name	Eunsun Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2500 Mowry Avenue, Fremont, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508408899
Provider Enumeration Date: 10/08/2019
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4486087327
Enrollment ID: I20191205003217

Medical Identifiers

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

Identifier	Type	State	Issuer
1508408899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	NP95009190 (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. Eunsun Kim allows following entities to bill medicare on her behalf.

Entity Name	Regents Of The University Of California
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881763597 PECOS PAC ID: 4284547274 Enrollment ID: O20031106000389

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	John Muir Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841407665 PECOS PAC ID: 6608789813 Enrollment ID: O20031226000143

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	Epic Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780107797 PECOS PAC ID: 5890053094 Enrollment ID: O20171215002809

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. Eunsun 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
Eunsun Kim, 2500 Mowry Avenue, Suite 227, Fremont, CA 94538 Ph: (510) 248-1600	Eunsun Kim, 2500 Mowry Avenue, Suite 227, Fremont, CA 94538 Ph: (510) 248-1600

Reviews and Comments

Nurse Practitioner Nurses in Fremont, CA

Mrs. Sherrie Denise Kneebone, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2000 Mowry Ave, Fremont, CA 94538 Phone: 510-795-2004 Fax: 510-742-9285
Jessica Young, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Mowry Ave, Fremont, CA 94538 Phone: 510-797-1111
Zachary Sebastian Teixeira, MS, RN, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4133b Argyle Ct, Fremont, CA 94536 Phone: 510-304-7667
Fatema Balooch, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3200 Kearney St, Fremont, CA 94538 Phone: 510-490-1222
Shafaa Eldesouky Jr., Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3165 Hancock Pl, Fremont, CA 94538 Phone: 510-520-5152
Pardeep Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 39500 Liberty St, Fremont, CA 94538 Phone: 510-770-8040
Ms. Anita Galhotra, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3607 Main St Ste B, Fremont, CA 94538 Phone: 510-770-8040

Eunsun Kim, - Medicare Nurse Practitioner in Fremont, CA