Jiyeon Kim, NP in Holt, MI - Medicare Nurse Practitioner

Jiyeon Kim, NP is a medicare enrolled "Nurse Practitioner" in Holt, Michigan. Her current practice location is 2380 Cedar St Ste 100, Holt, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 742-4900.

Jiyeon Kim is licensed to practice in Michigan (license number 4704383913) 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 1023742756.

Contact Information

	Jiyeon Kim, NP
	2380 Cedar St Ste 100, Holt, MI 48842-2210
	(517) 742-4900
	Not Available

Map and Direction

Provider's Profile

Full Name	Jiyeon Kim
Gender	Female
Speciality	Nurse Practitioner
Location	2380 Cedar St Ste 100, Holt, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023742756
Provider Enumeration Date: 07/09/2022
Last Update Date: 07/09/2022

Medicare PECOS Information:

PECOS PAC ID: 8921484098
Enrollment ID: I20220928000630

Medical Identifiers

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

Identifier	Type	State	Issuer
1023742756	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	4704383913 (Michigan)	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. Jiyeon Kim allows following entities to bill medicare on her behalf.

Entity Name	Lansing Cardiovascular Consultants Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548301880 PECOS PAC ID: 9739143827 Enrollment ID: O20041118000149

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. Jiyeon 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
Jiyeon Kim, NP 1270 Garden City Rd Apt 455, East Lansing, MI 48823-6045 Ph: (517) 899-4816	Jiyeon Kim, NP 2380 Cedar St Ste 100, Holt, MI 48842-2210 Ph: (517) 742-4900

Reviews and Comments

Nurse Practitioner Nurses in Holt, MI

Mrs. Kelly Ann Baird-cox, RN, MSN, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4801 Willoughby Rd, Suite 3, Holt, MI 48842 Phone: 517-268-6627
Irene Chebiwot Maiyo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2631 Sanibel Holw, Holt, MI 48842 Phone: 517-528-2852
Maha Gebril, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2585 Kate St, Holt, MI 48842 Phone: 517-703-3771
Mrs. Mary Elizabeth Jacobs, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4221 Charlar Dr, Holt, MI 48842 Phone: 517-694-7600
Pallav Deka, PHD, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5091 Willoughby Rd, Holt, MI 48842 Phone: 517-694-2144 Fax: 517-694-7469
Dr. Latoya Danielle Brown, AGPCNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5091 Willoughby Rd, Holt, MI 48842 Phone: 517-694-2144 Fax: 517-694-7469

Jiyeon Kim, NP - Medicare Nurse Practitioner in Holt, MI