Ki S Kim, NP in Vienna, VA - Medicare Nurse Practitioner

Ki S Kim, NP is a medicare enrolled "Nurse Practitioner - Family" in Vienna, Virginia. He graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Inova Health Care Services and his current practice location is 1900 Gallows Rd Ste 110, Vienna, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 281-1265.

Ki S Kim is licensed to practice in Virginia (license number 0024171030) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447683073.

Contact Information

	Ki S Kim, NP
	1900 Gallows Rd Ste 110, Vienna, VA 22182-4098
	(703) 281-1265
	(703) 255-0571

Map and Direction

Provider's Profile

Full Name	Ki S Kim
Gender	Male
Speciality	Nurse Practitioner
Experience	11 Years
Location	1900 Gallows Rd Ste 110, Vienna, Virginia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ki S Kim graduated from nursing school in 2013

NPI Data:

NPI Number: 1447683073
Provider Enumeration Date: 08/19/2013
Last Update Date: 08/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4587898887
Enrollment ID: I20140917000671

Medical Identifiers

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

Identifier	Type	State	Issuer
1447683073	NPI	-	NPPES
1447683073	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024171030 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Inova Fairfax Hospital	Falls church, VA	Hospital
Inova Fair Oaks Hospital	Fairfax, VA	Hospital
Inova Loudoun Hospital	Leesburg, VA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Inova Health Care Services	2466351093	1778

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. Ki S Kim allows following entities to bill medicare on his behalf.

Entity Name	The Cardiovascular Group, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366498933 PECOS PAC ID: 2062305360 Enrollment ID: O20040507001043

Entity Name	Inova Health Care Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20080806000696

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. Ki S 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
Ki S Kim, NP 2901 Telestar Ct Ste 300, Falls Church, VA 22042-1263 Ph: (703) 591-1688	Ki S Kim, NP 1900 Gallows Rd Ste 110, Vienna, VA 22182-4098 Ph: (703) 281-1265

Reviews and Comments

Nurse Practitioner Nurses in Vienna, VA

Rebecca S. Browne, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 115 Park St Se # 205300, Vienna, VA 22180 Phone: 703-255-9100 Fax: 703-255-3457
Mrs. Peggy S Thurston, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 410 Maple Ave W, 5, Vienna, VA 22180 Phone: 703-938-2244 Fax: 703-938-3669
Emily Janice Mastromatteo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 East St Se Ste 301, Vienna, VA 22180 Phone: 703-938-5555
Shawn David Rohan, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8357 Leesburg Pike, Vienna, VA 22182 Phone: 571-665-6440
Ms. Cathryn R Burgess, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 380 Maple Ave W, Suite L-3, Vienna, VA 22180 Phone: 703-319-3200 Fax: 703-319-3200
Rachel Palenski, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8302 Old Courthouse Rd Ste C, Vienna, VA 22182 Phone: 703-462-8138
Ivan Racadag, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1604 Spring Hill Rd, Suite 450, Vienna, VA 22182 Phone: 571-599-5643 Fax: 703-270-4350

Ki S Kim, NP - Medicare Nurse Practitioner in Vienna, VA