Ms Geeeun Kim, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Tenafly, New Jersey. Her current practice location is
295 Tenafly Rd, Apt #c, Tenafly, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 981-5961.
Ms Geeeun Kim is licensed to practice in New York (license number F339239) 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 1598006553.
Provider's Profile
| Full Name | Ms Geeeun Kim |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 295 Tenafly Rd, Tenafly, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598006553
- Provider Enumeration Date: 03/14/2013
- Last Update Date: 08/24/2015
Medicare PECOS Information:
- PECOS PAC ID: 1254759780
- Enrollment ID: I20200916000617
Medical Identifiers
Medical identifiers for Ms Geeeun Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598006553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 624283 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F339239 (New York) | 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. Ms Geeeun Kim allows following entities to bill medicare on her behalf.
| Entity Name | Hudson Md Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497301998
PECOS PAC ID: 6103240478
Enrollment ID: O20200720001687 |
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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. Ms Geeeun 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 |
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Ms Geeeun Kim, NURSE PRACTITIONER
295 Tenafly Rd, Apt #c,
Tenafly, NJ 07670-2540
Ph: (201) 981-5961 | Ms Geeeun Kim, NURSE PRACTITIONER
295 Tenafly Rd, Apt #c,
Tenafly, NJ 07670-2540
Ph: (201) 981-5961 |
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