Jung Mi Kim, | |
24795 Pinebrook Rd, Chantilly, VA 20152-4239 | |
(866) 389-2727 | |
Not Available |
Full Name | Jung Mi Kim |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 24795 Pinebrook Rd, Chantilly, Virginia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114497351 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 0024176496 (Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Medical Access Pc | 9335405844 | 12 |
Manbir Takhar, P.c. | 0749206951 | 12 |
Tru Health Group Pc | 6406216183 | 8 |
Entity Name | Privia Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
Entity Name | Manbir Takhar, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457322505 PECOS PAC ID: 0749206951 Enrollment ID: O20051018000122 |
Entity Name | Medical Access Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144291204 PECOS PAC ID: 9335405844 Enrollment ID: O20171122001178 |
Mailing Address | Practice Location Address |
---|---|
Jung Mi Kim, 11645 Leehigh Dr, Fairfax, VA 22030-5641 Ph: () - | Jung Mi Kim, 24795 Pinebrook Rd, Chantilly, VA 20152-4239 Ph: (866) 389-2727 |
Diana Spring, APRN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14121 Parke Long Ct Ste 201, Chantilly, VA 20151 Phone: 571-364-7110 Fax: 800-752-2471 | |
Ms. Xin Wang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4213 Walney Rd, Chantilly, VA 20151 Phone: 703-383-8500 | |
Hamdi Hagiyusuf, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14391 Chantilly Crossing Ln, Chantilly, VA 20151 Phone: 571-262-0021 | |
Bindhu Aickareth, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14121 Parke Long Ct, Chantilly, VA 20151 Phone: 281-827-7304 | |
Victoria Ranti Balogun, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 Phone: 864-551-5536 | |
Kadijatu Sesay, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 42979 Golf View Dr, Chantilly, VA 20152 Phone: 614-596-3596 | |
Michelle Marie Dresback, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14121 Parke Long Ct Ste 201, Chantilly, VA 20151 Phone: 855-247-1940 |