Kyongsook Kim, NP in Washington, DC - Medicare Nurse Practitioner

Kyongsook Kim, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Washington, District Of Columbia. Her current practice location is 1380 Southern Ave Se, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 279-5880.

Kyongsook Kim is licensed to practice in District Of Columbia (license number RN962194) 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 1033181060.

Contact Information

	Kyongsook Kim, NP
	1380 Southern Ave Se, Washington, DC 20032-4623
	(202) 279-5880
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyongsook Kim
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	1380 Southern Ave Se, Washington, District Of Columbia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033181060
Provider Enumeration Date: 02/03/2006
Last Update Date: 04/08/2023

Medicare PECOS Information:

PECOS PAC ID: 6507841335
Enrollment ID: I20040623001679

Medical Identifiers

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

Identifier	Type	State	Issuer
1033181060	NPI	-	NPPES
N54833	Other	MD	CDS
018733100	Medicaid	DC
R151075	Other	MD	DON

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	RN962194 (District Of Columbia)	Primary
363LG0600X	Nurse Practitioner - Gerontology	R151075 (Maryland)	Secondary

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. Kyongsook Kim allows following entities to bill medicare on her behalf.

Entity Name	M Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780056168 PECOS PAC ID: 7719278597 Enrollment ID: O20160627000350

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. Kyongsook 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
Kyongsook Kim, NP 18500 New Hampshire Ave, Ashton, MD 20861-9788 Ph: (240) 330-0999	Kyongsook Kim, NP 1380 Southern Ave Se, Washington, DC 20032-4623 Ph: (202) 279-5880

Reviews and Comments

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Kyongsook Kim, NP - Medicare Nurse Practitioner in Washington, DC