Selena Kim, is a medicare enrolled "Anesthesiology - Critical Care Medicine" in Atlanta, Georgia. Her current practice location is
80 Jesse Hill Jr Dr Se, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at
(404) 616-1000.
Selena Kim is licensed to practice in Georgia (license number 28513469) 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 1013562883.
Provider's Profile
Full Name | Selena Kim |
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Gender | Female |
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Speciality | Anesthesiology - Critical Care Medicine |
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Location | 80 Jesse Hill Jr Dr Se, Atlanta, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1013562883
- Provider Enumeration Date: 08/07/2019
- Last Update Date: 09/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234553256
- Enrollment ID: I20210603000395
Medical Identifiers
Medical identifiers for Selena Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013562883 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
207LC0200X | Anesthesiology - Critical Care Medicine | 28513469 (Georgia) | 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. Selena Kim allows following entities to bill medicare on her behalf.
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
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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. Selena 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 |
Selena Kim, 3140 Chestnut Woods Dr, Atlanta, GA 30340-3245 Ph: (407) 810-3700 | Selena Kim, 80 Jesse Hill Jr Dr Se, Atlanta, GA 30303-3031 Ph: (404) 616-1000 |
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