Han N Kim, NP in Lawrenceville, GA - Medicare Nurse Practitioner

Han N Kim, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Lawrenceville, Georgia. Her current practice location is 755 Walther Rd, Lawrenceville, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 962-0399.

Han N Kim is licensed to practice in Georgia (license number RN252193) 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 1952184384.

Contact Information

	Han N Kim, NP
	755 Walther Rd, Lawrenceville, GA 30046-8725
	(770) 962-0399
	Not Available

Map and Direction

Provider's Profile

Full Name	Han N Kim
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	755 Walther Rd, Lawrenceville, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952184384
Provider Enumeration Date: 08/17/2023
Last Update Date: 08/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6608230495
Enrollment ID: I20230912003858

Medical Identifiers

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

Identifier	Type	State	Issuer
1952184384	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	RN252193 (Georgia)	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. Han N Kim allows following entities to bill medicare on her behalf.

Entity Name	Northside Cv Professional Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821612938 PECOS PAC ID: 4880003771 Enrollment ID: O20210505001504

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. Han N 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
Han N Kim, NP 2939 Volland Grove Trl, Lawrenceville, GA 30043-7669 Ph: (702) 375-4627	Han N Kim, NP 755 Walther Rd, Lawrenceville, GA 30046-8725 Ph: (770) 962-0399

Reviews and Comments

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Han N Kim, NP - Medicare Nurse Practitioner in Lawrenceville, GA