Grace S Kim, NP in Carlsbad, CA - Medicare Nurse Practitioner

Grace S Kim, NP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Carlsbad, California. Her current practice location is 2659 State St Ste 100, Carlsbad, California. You can reach out to her office (for appointments etc.) via phone at (619) 350-6290.

Grace S Kim is licensed to practice in Connecticut (license number 12007) 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 1780363200.

Contact Information

	Grace S Kim, NP
	2659 State St Ste 100, Carlsbad, CA 92008-1627
	(619) 350-6290
	Not Available

Map and Direction

Provider's Profile

Full Name	Grace S Kim
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2659 State St Ste 100, Carlsbad, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780363200
Provider Enumeration Date: 07/12/2023
Last Update Date: 03/21/2024

Medicare PECOS Information:

PECOS PAC ID: 6709231970
Enrollment ID: I20231006002914

Medical Identifiers

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

Identifier	Type	State	Issuer
1780363200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	405554 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	12007 (Connecticut)	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 S Kim allows following entities to bill medicare on her behalf.

Entity Name	Tms Neurohealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093282360 PECOS PAC ID: 7719216548 Enrollment ID: O20190904001668

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 S 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 S Kim, NP 924 Quinnipiac Ave Apt 1, New Haven, CT 06513-3334 Ph: () -	Grace S Kim, NP 2659 State St Ste 100, Carlsbad, CA 92008-1627 Ph: (619) 350-6290

Reviews and Comments

Nurse Practitioner Nurses in Carlsbad, CA

Daniela Hijin Kim Shon, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 El Camino Real, Carlsbad, CA 92008 Phone: 760-729-8941
Catherine R. O'neill-conover, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3445 Camino Alegre, Carlsbad, CA 92009 Phone: 760-942-2793
Lisa Bertotti, RN-NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2605 Carlsbad Blvd, Carlsbad, CA 92008 Phone: 760-547-5215 Fax: 760-720-2349
Elisha Phelan, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7740 El Camino Real Ste F, Carlsbad, CA 92009 Phone: 281-814-9475
Emaka Takashima, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5838 Edison Pl Ste 100, Carlsbad, CA 92008 Phone: 800-275-3243
Ms. Cynthia Elizabeth Manly, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2386 Faraday Ave Ste 110, Carlsbad, CA 92008 Phone: 800-930-0803 Fax: 619-383-6701
Nicole O'donnell, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7740 Rancho Santa Fe Rd, Carlsbad, CA 92009 Phone: 858-457-4480

Grace S Kim, NP - Medicare Nurse Practitioner in Carlsbad, CA