Miss Caroline Theresa Kim, in San Diego, CA - Medicare Nurse Practitioner

Miss Caroline Theresa Kim, is a medicare enrolled "Nurse Practitioner - Family" in San Diego, California. Her current practice location is 8010 Frost St, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (858) 499-2600.

Miss Caroline Theresa Kim is licensed to practice in California (license number 95025353) 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 1790461952.

Contact Information

	Miss Caroline Theresa Kim,
	8010 Frost St, San Diego, CA 92123-2778
	(858) 499-2600
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Caroline Theresa Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	8010 Frost St, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790461952
Provider Enumeration Date: 06/23/2023
Last Update Date: 06/23/2023

Medicare PECOS Information:

PECOS PAC ID: 5597119321
Enrollment ID: I20230928000751

Medical Identifiers

Medical identifiers for Miss Caroline Theresa Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790461952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95025353 (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. Miss Caroline Theresa Kim allows following entities to bill medicare on her behalf.

Entity Name	Sharp Rees-stealy Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285616177 PECOS PAC ID: 8628972759 Enrollment ID: O20031120000996

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. Miss Caroline Theresa 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
Miss Caroline Theresa Kim, 3131 Cauby St Apt 20, San Diego, CA 92110-4622 Ph: (323) 351-6892	Miss Caroline Theresa Kim, 8010 Frost St, San Diego, CA 92123-2778 Ph: (858) 499-2600

Reviews and Comments

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Miss Caroline Theresa Kim, - Medicare Nurse Practitioner in San Diego, CA