Jina E Kim, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in New York, NY

Jina E Kim, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New York, New York. She went to Columbia University College Of Physicians And Surgeons and graduated in 2007 and has 17 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Regents Of The University Of California and her current practice location is 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, New York. You can reach out to her office (for appointments etc.) via phone at (800) 627-4470.

Jina E Kim is licensed to practice in New York (license number 505032-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417136490.

Contact Information

Jina E Kim, CRNA
1 Gustave L Levy Pl, Anesthesiology - Box 1010,
New York, NY 10029-6500
(800) 627-4470
Not Available

Map and Direction




Provider's Profile

Full NameJina E Kim
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience17 Years
Location1 Gustave L Levy Pl, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jina E Kim attended and graduated from Columbia University College Of Physicians And Surgeons in 2007
  NPI Data:
  • NPI Number: 1417136490
  • Provider Enumeration Date: 10/26/2007
  • Last Update Date: 10/26/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1557441789
  • Enrollment ID: I20170718001638

Medical Identifiers

Medical identifiers for Jina E Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417136490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 505032-1 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Santa Monica - Ucla Med Ctr & Orthopaedic HospitalSanta monica, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents Of The University Of California8527971316220

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. Jina E Kim allows following entities to bill medicare on her behalf.
Entity NameRegents Of The University Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326096165
PECOS PAC ID: 8527971316
Enrollment ID: O20031107000404
Entity NameMartin Luther King Jr Community Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356899777
PECOS PAC ID: 8628359502
Enrollment ID: O20170109001311

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. Jina E 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 AddressPractice Location Address
Jina E Kim, CRNA
Po Box 12023,
Newark, NJ 07101-5023

Ph: (800) 627-4470
Jina E Kim, CRNA
1 Gustave L Levy Pl, Anesthesiology - Box 1010,
New York, NY 10029-6500

Ph: (800) 627-4470

Reviews and Comments


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Ms. Lynn Ann Reilly, C.R.N.A.
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Sung Min Park,
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Amanda M L Reuter,
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Practice Location: 550 1st Ave, New York, NY 10016
Phone: 212-263-5072    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.