Leeshah Kim, - Medicare Anesthesiology Assistant in Conyers, GA

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Leeshah Kim, is a medicare enrolled "Anesthesiologist Assistant" in Conyers, Georgia. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Anesthesiology Assistant. She is a member of the group practice Porter County Anesthesia Associates Pc and her current practice location is 1412 Milstead Ave Ne, Conyers, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 918-3000.

Leeshah Kim is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1629640628.

Contact Information

Leeshah Kim,
1412 Milstead Ave Ne,
Conyers, GA 30012-3877
(770) 918-3000
Not Available

Map and Direction




Provider's Profile

Full NameLeeshah Kim
GenderFemale
SpecialityAnesthesiology Assistant
Experience3 Years
Location1412 Milstead Ave Ne, Conyers, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Leeshah Kim graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1629640628
  • Provider Enumeration Date: 07/11/2021
  • Last Update Date: 07/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5890192207
  • Enrollment ID: I20230213001161

Medical Identifiers

Medical identifiers for Leeshah Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629640628NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367H00000XAnesthesiologist Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northwest Health - PorterValparaiso, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Porter County Anesthesia Associates Pc478957341124

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. Leeshah Kim allows following entities to bill medicare on her behalf.
Entity NamePorter County Anesthesia Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215974936
PECOS PAC ID: 4789573411
Enrollment ID: O20040311001120

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. Leeshah 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 AddressPractice Location Address
Leeshah Kim,
1 Biscayne Dr Nw Unit 203,
Atlanta, GA 30309-1076

Ph: (404) 422-4367		Leeshah Kim,
1412 Milstead Ave Ne,
Conyers, GA 30012-3877

Ph: (770) 918-3000

Reviews and Comments


Anesthesiologist Assistant Nurses in Conyers, GA

Hyerim Nelson,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1380 Milstead Rd Ne, Suite G, Conyers, GA 30012
Phone: 770-388-7745    
Sarah Buckner, AAPA
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1388b Wellbrook Cir Ne, Conyers, GA 30012
Phone: 770-388-7745    Fax: 770-922-0526
Alison N Colquitt, AAPA
Anesthesiologist Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1359 Milstead Rd Ne, Suite 103, Conyers, GA 30012
Phone: 770-388-7745    Fax: 770-922-0526
Noah Beech Malone, CAA
Anesthesiologist Assistant
Medicare: Medicare Enrolled
Practice Location: 1412 Milstead Ave Ne, Conyers, GA 30012
Phone: 770-918-3000    
Stephen Charles Tyson,
Anesthesiologist Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1612 Milstead Rd Ne Ste B, Conyers, GA 30012
Phone: 770-388-7745    Fax: 770-922-0526

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.