Mr Michael Jae Woo Kim, NP - Medicare Nurse Practitioner in Bronx, NY

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Mr Michael Jae Woo Kim, NP is a medicare enrolled "Nurse Practitioner - Family" in Bronx, New York. His current practice location is 85 W Burnside Ave, Bronx, New York. You can reach out to his office (for appointments etc.) via phone at (718) 716-4400.

Mr Michael Jae Woo Kim is licensed to practice in New York (license number F341255-1) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578955019.

Contact Information

Mr Michael Jae Woo Kim, NP
85 W Burnside Ave,
Bronx, NY 10453-4015
(718) 716-4400
(718) 228-7471

Map and Direction




Provider's Profile

Full NameMr Michael Jae Woo Kim
GenderMale
SpecialityNurse Practitioner - Family
Location85 W Burnside Ave, Bronx, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578955019
  • Provider Enumeration Date: 02/20/2015
  • Last Update Date: 01/04/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7214218064
  • Enrollment ID: I20170110001546

Medical Identifiers

Medical identifiers for Mr Michael Jae Woo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578955019NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family NP95002352 (California)Secondary
363LF0000XNurse Practitioner - Family F341255-1 (New York)Primary
363LF0000XNurse Practitioner - Family 60528082 (Washington)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. Mr Michael Jae Woo Kim allows following entities to bill medicare on his behalf.
Entity NameWilliam F Ryan Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851328199
PECOS PAC ID: 4880596550
Enrollment ID: O20041023000026
Entity NameMorris Heights Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184694291
PECOS PAC ID: 3072798172
Enrollment ID: O20110505000508

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. Mr Michael Jae Woo 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
Mr Michael Jae Woo Kim, NP
85 W Burnside Ave,
Bronx, NY 10453-4015

Ph: (718) 716-4400		Mr Michael Jae Woo Kim, NP
85 W Burnside Ave,
Bronx, NY 10453-4015

Ph: (718) 716-4400

Reviews and Comments


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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).

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