Mona Kim, RN, MS, MA, PMHNP-BC in Oakland, CA

Mona Kim, RN, MS, MA, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Oakland, California. Her current practice location is 1422 Harrison St, Oakland, California. You can reach out to her office (for appointments etc.) via phone at (510) 809-1780.

Mona Kim is licensed to practice in California (license number NP95003523) 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 1639578487.

Contact Information

	Mona Kim, RN, MS, MA, PMHNP-BC
	1422 Harrison St, Oakland, CA 94612-3903
	(510) 809-1780
	(510) 893-1642

Map and Direction

Provider's Profile

Full Name	Mona Kim
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	1422 Harrison St, Oakland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639578487
Provider Enumeration Date: 08/18/2014
Last Update Date: 01/03/2022

Medicare PECOS Information:

PECOS PAC ID: 4789981499
Enrollment ID: I20160323002657

Medical Identifiers

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

Identifier	Type	State	Issuer
1639578487	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	NP95003523 (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. Mona Kim allows following entities to bill medicare on her behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Mona 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
Mona Kim, RN, MS, MA, PMHNP-BC 1422 Harrison St, Oakland, CA 94612-3903 Ph: (510) 809-1780	Mona Kim, RN, MS, MA, PMHNP-BC 1422 Harrison St, Oakland, CA 94612-3903 Ph: (510) 809-1780

Reviews and Comments

Nurse Practitioner Nurses in Oakland, CA

Emily Duane Lloyd, NPF Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1030 International Blvd, Oakland, CA 94606 Phone: 510-238-5400 Fax: 510-238-5437
Erica Tringale, N.P, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3373
Shelley Anne Bull, CPNP-PC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-3885
Mrs. Michelle Annette Harris-miller, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3025 High St, Oakland, CA 94619 Phone: 510-261-5200
Annie Roque, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 747 52nd St, Oakland, CA 94609 Phone: 510-428-4418
Mr. Keith M. Thibault, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 275 W Macarthur, Oakland, CA 94611 Phone: 510-752-1000
Colleen Mccullough, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2950 International Blvd, Oakland, CA 94601 Phone: 510-535-4400

Mona Kim, RN, MS, MA, PMHNP-BC - Medicare Nurse Practitioner in Oakland, CA