James C Jin, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Costa Mesa, California. His current practice location is
1283 Conway Ave, Costa Mesa, California. You can reach out to his office (for appointments etc.) via phone at
(714) 222-2401.
James C Jin is licensed to practice in California (license number NA4274) 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 1588923510.
Provider's Profile
| Full Name | James C Jin |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 1283 Conway Ave, Costa Mesa, California |
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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: 1588923510
- Provider Enumeration Date: 05/11/2012
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 7810140282
- Enrollment ID: I20130115000177
Medical Identifiers
Medical identifiers for James C Jin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1588923510 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 682809 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | NA4274 (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. James C Jin allows following entities to bill medicare on his behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678 |
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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. James C Jin 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 |
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James C Jin,
1283 Conway Ave,
Costa Mesa, CA 92626-2714
Ph: (714) 222-2401 | James C Jin,
1283 Conway Ave,
Costa Mesa, CA 92626-2714
Ph: (714) 222-2401 |
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