Jessica Kim, NP in Tacoma, WA - Medicare Nurse Practitioner

Jessica Kim, NP is a medicare enrolled "Nurse Practitioner - Women's Health" in Tacoma, Washington. Her current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at (253) 968-1110.

Jessica Kim is licensed to practice in California (license number 21602) 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 1871850032.

Contact Information

	Jessica Kim, NP
	9040 Jackson Ave, Tacoma, WA 98431-3186
	(253) 968-1110
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Kim
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	9040 Jackson Ave, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871850032
Provider Enumeration Date: 04/12/2012
Last Update Date: 09/01/2020

Medicare PECOS Information:

PECOS PAC ID: 0547487514
Enrollment ID: I20140814002234

Medical Identifiers

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

Identifier	Type	State	Issuer
1871850032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	21602 (California)	Secondary
363LW0102X	Nurse Practitioner - Women's Health	21602 (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. Jessica Kim allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

Entity Name	East Valley Community Health Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831243625 PECOS PAC ID: 9234041765 Enrollment ID: O20050425000560

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. Jessica 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
Jessica Kim, NP Po Box 11782, Newport Beach, CA 92658-5041 Ph: () -	Jessica Kim, NP 9040 Jackson Ave, Tacoma, WA 98431-3186 Ph: (253) 968-1110

Reviews and Comments

Nurse Practitioner Nurses in Tacoma, WA

Salome Odja Dockendorf, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402 Phone: 812-870-6728
Barbara L Kapuscinski, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2751
Ms. Christine J. Larsen, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3580 Pacific Ave, Tacoma, WA 98418 Phone: 253-798-4500 Fax: 253-798-4493
Rick Hahn, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 315 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-403-1000
Mrs. Kimberley Anne Burns, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1617 S J St, Tacoma, WA 98405 Phone: 253-274-7504
Randi Marie Berg, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9040 Reid St, Tacoma, WA 98431 Phone: 253-968-2315
Marlene I Bridgforth, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1901 S Cedar St, #301 Cardiac Study Center Inc Ps, Tacoma, WA 98405 Phone: 253-572-7320 Fax: 253-627-3191

Jessica Kim, NP - Medicare Nurse Practitioner in Tacoma, WA