Jiwon Kim, in New York, NY - Medicare Nurse Practitioner

Jiwon Kim, is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. Her current practice location is 1901 1st Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 423-6262.

Jiwon Kim is licensed to practice in New York (license number F340545) 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 1033765748.

Contact Information

	Jiwon Kim,
	1901 1st Ave, New York, NY 10029-7494
	(212) 423-6262
	Not Available

Map and Direction

Provider's Profile

Full Name	Jiwon Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1901 1st Ave, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033765748
Provider Enumeration Date: 08/18/2019
Last Update Date: 08/18/2019

Medicare PECOS Information:

PECOS PAC ID: 8729465919
Enrollment ID: I20220509001213

Medical Identifiers

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

Identifier	Type	State	Issuer
1033765748	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F340545 (New York)	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. Jiwon Kim allows following entities to bill medicare on her behalf.

Entity Name	Metropolitan Medical Practice Plan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306138383 PECOS PAC ID: 8022286384 Enrollment ID: O20110713000171

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. Jiwon 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
Jiwon Kim, 1106 Glenmore Ave Fl 1, Brooklyn, NY 11208-3228 Ph: (909) 647-7388	Jiwon Kim, 1901 1st Ave, New York, NY 10029-7494 Ph: (212) 423-6262

Reviews and Comments

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Jiwon Kim, - Medicare Nurse Practitioner in New York, NY