Mi La Kim, FNP in Yucaipa, CA - Medicare Nurse Practitioner

Mi La Kim, FNP is a medicare enrolled "Nurse Practitioner - Family" in Yucaipa, California. Her current practice location is 33758 Yucaipa Blvd, Yucaipa, California. You can reach out to her office (for appointments etc.) via phone at (909) 795-9747.

Mi La Kim is licensed to practice in California (license number 19524) 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 1295047058.

Contact Information

	Mi La Kim, FNP
	33758 Yucaipa Blvd, Yucaipa, CA 92399
	(909) 795-9747
	Not Available

Map and Direction

Provider's Profile

Full Name	Mi La Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	33758 Yucaipa Blvd, Yucaipa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295047058
Provider Enumeration Date: 07/09/2010
Last Update Date: 10/22/2019

Medicare PECOS Information:

PECOS PAC ID: 6305161563
Enrollment ID: I20150210000868

Medical Identifiers

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

Identifier	Type	State	Issuer
1295047058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	19524 (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. Mi La Kim allows following entities to bill medicare on her behalf.

Entity Name	Beaver Medical Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

Entity Name	Morongo Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972644516 PECOS PAC ID: 6204829245 Enrollment ID: O20040406000905

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. Mi La 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
Mi La Kim, FNP Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188	Mi La Kim, FNP 33758 Yucaipa Blvd, Yucaipa, CA 92399 Ph: (909) 795-9747

Reviews and Comments

Nurse Practitioner Nurses in Yucaipa, CA

Suzanne Charlotte Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Mrs. Grace Enu Clerk, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 35237 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-790-6200 Fax: 909-790-6220
Carrie D Parrish, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Alaina Marie Helt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11985 4th St Ste 102, Yucaipa, CA 92399 Phone: 909-747-8416
Lisa Wong-soqui, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 33758 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-795-9747
Gilbert Agyemang-boakye, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11711 Sand Canyon Rd, Yucaipa, CA 92399 Phone: 909-389-3272

Mi La Kim, FNP - Medicare Nurse Practitioner in Yucaipa, CA