Kyoung Jin Kim, AGNP-BC in Gardena, CA - Medicare Nurse Practitioner

Kyoung Jin Kim, AGNP-BC is a medicare enrolled "Nurse Practitioner - Primary Care" in Gardena, California. Her current practice location is 15435 S Western Ave Ste 201, Gardena, California. You can reach out to her office (for appointments etc.) via phone at (213) 215-7323.

Kyoung Jin Kim is licensed to practice in California (license number NP95006053) 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 1609392919.

Contact Information

	Kyoung Jin Kim, AGNP-BC
	15435 S Western Ave Ste 201, Gardena, CA 90249-4324
	(213) 215-7323
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyoung Jin Kim
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	15435 S Western Ave Ste 201, Gardena, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609392919
Provider Enumeration Date: 08/17/2017
Last Update Date: 08/17/2017

Medicare PECOS Information:

PECOS PAC ID: 6002248689
Enrollment ID: I20191120001357

Medical Identifiers

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

Identifier	Type	State	Issuer
1609392919	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	714565 (California)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	NP95006053 (California)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	NP95006053 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	NP95006053 (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. Kyoung Jin Kim allows following entities to bill medicare on her behalf.

Entity Name	Suk Medical Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720581382 PECOS PAC ID: 8224393798 Enrollment ID: O20180604002366

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. Kyoung Jin 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
Kyoung Jin Kim, AGNP-BC 3185 Wilshire Blvd Unit 744, Los Angeles, CA 90010-1252 Ph: () -	Kyoung Jin Kim, AGNP-BC 15435 S Western Ave Ste 201, Gardena, CA 90249-4324 Ph: (213) 215-7323

Reviews and Comments

Nurse Practitioner Nurses in Gardena, CA

Starly Alvarado, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1045 W Redondo Beach Blvd Ste 300, Gardena, CA 90247 Phone: 323-241-6730
Courtney Lynn Flores, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1145 W Redondo Beach Blvd, Gardena, CA 90247 Phone: 310-532-4200
Selali Ziga, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 15116 S Raymond Ave Apt 106, Gardena, CA 90247 Phone: 909-576-0190
Ms. Adaljiza Tavera, PMHNP, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1225 W 190th St Ste 280, Gardena, CA 90248 Phone: 310-515-8113 Fax: 310-538-2102
Anna Smith, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15803 S Maple Ave, Gardena, CA 90248 Phone: 310-469-4273
Angela Ugochi Otegbulu, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13812 Spinning Ave, Gardena, CA 90249 Phone: 310-529-4211
Amechi Lilian Obodoagha, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1720 Marine Ave, Gardena, CA 90247 Phone: 424-263-0728

Kyoung Jin Kim, AGNP-BC - Medicare Nurse Practitioner in Gardena, CA