Hyeongyu Kim, NP in Lake Oswego, OR - Medicare Nurse Practitioner

Hyeongyu Kim, NP is a medicare enrolled "Nurse Practitioner" in Lake Oswego, Oregon. His current practice location is 5200 Meadows Rd Ste 200, Lake Oswego, Oregon. You can reach out to his office (for appointments etc.) via phone at (855) 255-1750.

Hyeongyu Kim is licensed to practice in Oregon (license number 202211907NP-PP) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1992473706.

Contact Information

	Hyeongyu Kim, NP
	5200 Meadows Rd Ste 200, Lake Oswego, OR 97035-0086
	(855) 255-1750
	(855) 255-0905

Map and Direction

Provider's Profile

Full Name	Hyeongyu Kim
Gender	Male
Speciality	Nurse Practitioner
Location	5200 Meadows Rd Ste 200, Lake Oswego, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992473706
Provider Enumeration Date: 09/06/2021
Last Update Date: 09/27/2024

Medicare PECOS Information:

PECOS PAC ID: 6406231547
Enrollment ID: I20220909003137

Medical Identifiers

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

Identifier	Type	State	Issuer
1992473706	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WG0000X	Registered Nurse - General Practice	201602206RN (Oregon)	Secondary
363L00000X	Nurse Practitioner	AP61354264 (Washington)	Secondary
363L00000X	Nurse Practitioner	202211907NP-PP (Oregon)	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. Hyeongyu Kim allows following entities to bill medicare on his behalf.

Entity Name	United Wound Healing Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669845327 PECOS PAC ID: 2860794070 Enrollment ID: O20171121002084

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. Hyeongyu 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
Hyeongyu Kim, NP 413 29th St Ne Ste I, Puyallup, WA 98372-7154 Ph: (855) 255-1750	Hyeongyu Kim, NP 5200 Meadows Rd Ste 200, Lake Oswego, OR 97035-0086 Ph: (855) 255-1750

Reviews and Comments

Nurse Practitioner Nurses in Lake Oswego, OR

Susan Ranae Battle, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr, Lake Oswego, OR 97035 Phone: 541-214-6301 Fax: 855-510-1784
Krisa Fenton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 615-465-9443
Miss Amanda Magdalena Kinder, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940
Mrs. Amanda L Swinehart, NNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5299 Lakeview Blvd, Lake Oswego, OR 97035 Phone: 740-215-1612
Dr. Kristine Susan White, DNP, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14523 Westlake Dr Ste 25, Lake Oswego, OR 97035 Phone: 503-854-7160 Fax: 503-886-8961
Anthony Hernandez, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5 Centerpointe Dr Ste 600, Lake Oswego, OR 97035 Phone: 503-603-7355
Tierney Newman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4004 Kruse Way Pl Ste 300, Lake Oswego, OR 97035 Phone: 503-216-1500

Hyeongyu Kim, NP - Medicare Nurse Practitioner in Lake Oswego, OR