Kibbum Kang, NURSE PRACTITIONER - Medicare Nurse Practitioner in Manassas, VA

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Kibbum Kang, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Manassas, Virginia. Her current practice location is 8640 Sudley Rd Ste 201, Manassas, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 368-6819.

Kibbum Kang is licensed to practice in Virginia (license number 0024174551) 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 1548502347.

Contact Information

Kibbum Kang, NURSE PRACTITIONER
8640 Sudley Rd Ste 201,
Manassas, VA 20110-4404
(703) 368-6819
(703) 330-2923

Map and Direction




Provider's Profile

Full NameKibbum Kang
GenderFemale
SpecialityNurse Practitioner
Location8640 Sudley Rd Ste 201, Manassas, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548502347
  • Provider Enumeration Date: 03/20/2013
  • Last Update Date: 01/07/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7113147604
  • Enrollment ID: I20181114001685

Medical Identifiers

Medical identifiers for Kibbum Kang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548502347NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 0024174551 (Virginia)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. Kibbum Kang allows following entities to bill medicare on her behalf.
Entity NameGastroenterology Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518990472
PECOS PAC ID: 2466449228
Enrollment ID: O20040426001345
Entity NameAdvanced Digestive Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629462171
PECOS PAC ID: 3375857725
Enrollment ID: O20150730010749

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. Kibbum Kang 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 AddressPractice Location Address
Kibbum Kang, NURSE PRACTITIONER
8640 Sudley Rd, Ste 201,
Manassas, VA 20110-4404

Ph: (703) 368-6819		Kibbum Kang, NURSE PRACTITIONER
8640 Sudley Rd Ste 201,
Manassas, VA 20110-4404

Ph: (703) 368-6819

Reviews and Comments


Nurse Practitioner Nurses in Manassas, VA

Susan Brien Campbell, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8700 Sudley Rd, Manassas, VA 20110
Phone: 703-396-5292    Fax: 703-396-5297
Shraddha Lamichhane,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 10892 Caraway Cir, Manassas, VA 20109
Phone: 703-980-2783    
Helen Karellas Bardis, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9430 Forestwood Ln, Suite 100, Manassas, VA 20110
Phone: 703-365-0227    
Shahnoza Mamatova, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9600 Godwin Dr, Manassas, VA 20110
Phone: 703-396-1064    
Deepika Shrestha Rajbhandary, FNP BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6360 Hoadly Rd, Manassas, VA 20112
Phone: 703-897-4961    
Christien Byun, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8700 Sudley Rd, Manassas, VA 20110
Phone: 703-396-5292    
Shenise Seabrook, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6909 Stethem Ct, Manassas, VA 20112
Phone: 843-452-9746    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.