Joanne Kim, NP in Riverside, CA - Medicare Nurse Practitioner

Joanne Kim, NP is a medicare enrolled "Nurse Practitioner - Family" in Riverside, California. Her current practice location is 3657 Van Buren Blvd, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (909) 238-7966.

Joanne Kim is licensed to practice in California (license number 95022581) 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 1053037192.

Contact Information

	Joanne Kim, NP
	3657 Van Buren Blvd, Riverside, CA 92503-4249
	(909) 238-7966
	Not Available

Map and Direction

Provider's Profile

Full Name	Joanne Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3657 Van Buren Blvd, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053037192
Provider Enumeration Date: 10/19/2022
Last Update Date: 10/20/2022

Medicare PECOS Information:

PECOS PAC ID: 4688034416
Enrollment ID: I20230712001938

Medical Identifiers

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

Identifier	Type	State	Issuer
1053037192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95022581 (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. Joanne Kim allows following entities to bill medicare on her behalf.

Entity Name	Evergreen Spine And Pain Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760159198 PECOS PAC ID: 6507263688 Enrollment ID: O20210916003002

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. Joanne 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
Joanne Kim, NP 9961 Kaylor Ave, Los Alamitos, CA 90720-2225 Ph: (909) 238-7966	Joanne Kim, NP 3657 Van Buren Blvd, Riverside, CA 92503-4249 Ph: (909) 238-7966

Reviews and Comments

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Joanne Kim, NP - Medicare Nurse Practitioner in Riverside, CA