Hyojeong Kim, ARNP is a medicare enrolled "Clinical Nurse Specialist - Gerontology" in Richland, Washington. Her current practice location is
560 Gage Blvd, Ste 102, Richland, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 942-3135.
Hyojeong Kim is licensed to practice in Washington (license number AP60383782) 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 1700128162.
Provider's Profile
| Full Name | Hyojeong Kim |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Gerontology |
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| Location | 560 Gage Blvd, Richland, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1700128162
- Provider Enumeration Date: 03/25/2013
- Last Update Date: 01/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 8224279864
- Enrollment ID: I20191030003313
Medical Identifiers
Medical identifiers for Hyojeong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700128162 | NPI | - | NPPES |
| 1700128162 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SG0600X | Clinical Nurse Specialist - Gerontology | AP60383782 (Washington) | Primary |
| 363L00000X | Nurse Practitioner | 4704283603 (Michigan) | Secondary |
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. Hyojeong Kim allows following entities to bill medicare on her behalf.
| Entity Name | Paragon Clinical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114139946
PECOS PAC ID: 7214034925
Enrollment ID: O20170329002290 |
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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. Hyojeong 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 |
|---|
Hyojeong Kim, ARNP
550 Gage Blvd, Ste 101,
Richland, WA 99352-9532
Ph: (509) 942-3627 | Hyojeong Kim, ARNP
560 Gage Blvd, Ste 102,
Richland, WA 99352-8650
Ph: (509) 942-3135 |
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