Jiae Kwak, FNP in Alhambra, CA - Medicare Nurse Practitioner

Jiae Kwak, FNP is a medicare enrolled "Nurse Practitioner - Family" in Alhambra, California. Her current practice location is 1001 S Garfield Ave, Alhambra, California. You can reach out to her office (for appointments etc.) via phone at (310) 803-7648.

Jiae Kwak is licensed to practice in California (license number 95018394) 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 1912677253.

Contact Information

	Jiae Kwak, FNP
	1001 S Garfield Ave, Alhambra, CA 91801-4772
	(310) 803-7648
	Not Available

Map and Direction

Provider's Profile

Full Name	Jiae Kwak
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1001 S Garfield Ave, Alhambra, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912677253
Provider Enumeration Date: 09/17/2021
Last Update Date: 09/17/2021

Medicare PECOS Information:

PECOS PAC ID: 5991199085
Enrollment ID: I20220307002232

Medical Identifiers

Medical identifiers for Jiae Kwak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912677253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95018394 (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. Jiae Kwak allows following entities to bill medicare on her behalf.

Entity Name	Arroyo Vista Family Health Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447353701 PECOS PAC ID: 2264498930 Enrollment ID: O20041203000824

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. Jiae Kwak 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
Jiae Kwak, FNP 1001 S Garfield Ave, Alhambra, CA 91801-4772 Ph: (310) 803-7648	Jiae Kwak, FNP 1001 S Garfield Ave, Alhambra, CA 91801-4772 Ph: (310) 803-7648

Reviews and Comments

Nurse Practitioner Nurses in Alhambra, CA

Vivien Chan Trieu, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1917 Edgewood Dr, Alhambra, CA 91803 Phone: 626-203-8889
Hsing-chun Hsieh, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 S Chapel Ave Apt V, Alhambra, CA 91801 Phone: 626-399-3423
Yuan Yao, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 925 S Garfield Ave, Alhambra, CA 91801 Phone: 626-282-0282
Jackeline Tekin, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2835 W Valley Blvd, Alhambra, CA 91803 Phone: 626-281-3265
Mrs. Rosario Maria Aguilar-tanphanich, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 La Golondrina Ave, Alhambra, CA 91803 Phone: 626-476-8462
Thuy M Nguyen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2102 San Clemente Ave, Alhambra, CA 91803 Phone: 323-580-3076
Courtenay Lynn Juliano, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 E Huntington Dr Ste 209, Alhambra, CA 91801 Phone: 323-264-7796

Jiae Kwak, FNP - Medicare Nurse Practitioner in Alhambra, CA