Grace Kim, FNP-C in Cerritos, CA - Medicare Nurse Practitioner

Grace Kim, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Cerritos, California. Her current practice location is 12900 Park Plaza Dr, Cerritos, California. You can reach out to her office (for appointments etc.) via phone at (562) 622-2800.

Grace Kim is licensed to practice in California (license number 95007722) 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 1205344967.

Contact Information

	Grace Kim, FNP-C
	12900 Park Plaza Dr, Cerritos, CA 90703-9329
	(562) 622-2800
	Not Available

Map and Direction

Provider's Profile

Full Name	Grace Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	12900 Park Plaza Dr, Cerritos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205344967
Provider Enumeration Date: 01/16/2018
Last Update Date: 04/05/2018

Medicare PECOS Information:

PECOS PAC ID: 3577975465
Enrollment ID: I20201217002037

Medical Identifiers

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

Identifier	Type	State	Issuer
1205344967	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95007722 (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. Grace Kim allows following entities to bill medicare on her behalf.

Entity Name	Caremore Health Medical Partners West, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073110607 PECOS PAC ID: 8921419813 Enrollment ID: O20201125000882

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. Grace 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
Grace Kim, FNP-C 10487 Elderberry Ln, Santa Fe Springs, CA 90670-6908 Ph: (562) 266-8606	Grace Kim, FNP-C 12900 Park Plaza Dr, Cerritos, CA 90703-9329 Ph: (562) 622-2800

Reviews and Comments

Nurse Practitioner Nurses in Cerritos, CA

Caryn Chin Chao, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703 Phone: 866-646-3553 Fax: 562-622-2803
Cynthia De Jarnett, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Park Center Dr., #150, Cerritos, CA 90703 Phone: 866-646-3553 Fax: 562-622-3058
Dr. Ruth Judith Torres Contreras, DNP, FNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703 Phone: 213-989-0700
Yooron Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703 Phone: 562-622-2800 Fax: 562-741-4479
Prof. Elaine Ybarra, A.N. P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17215 Studebaker Rd Ste 320, Suite #300, Cerritos, CA 90703 Phone: 562-860-8771 Fax: 562-207-6581
Dr. Stephanie A Patterson, DNP, MPA, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21750 Ctr Ct Dr Ste 650, Cerritos, CA 90703 Phone: 877-259-4056
Iris Buan, DNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Park Plaza Dr, Cerritos, CA 90703 Phone: 310-808-3410

Grace Kim, FNP-C - Medicare Nurse Practitioner in Cerritos, CA