So Ri Kim, CRNP in Abington, PA - Medicare Nurse Practitioner

So Ri Kim, CRNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Abington, Pennsylvania. Her current practice location is 2630 Woodland Rd, Abington, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 884-6776.

So Ri Kim is licensed to practice in Pennsylvania (license number SP023201) 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 1043908031.

Contact Information

	So Ri Kim, CRNP
	2630 Woodland Rd, Abington, PA 19001-3013
	(215) 884-6776
	Not Available

Map and Direction

Provider's Profile

Full Name	So Ri Kim
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	2630 Woodland Rd, Abington, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043908031
Provider Enumeration Date: 04/27/2023
Last Update Date: 04/27/2023

Medicare PECOS Information:

PECOS PAC ID: 7113386533
Enrollment ID: I20230703002207

Medical Identifiers

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

Identifier	Type	State	Issuer
1043908031	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LG0600X	Nurse Practitioner - Gerontology	SP023201 (Pennsylvania)	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. So Ri Kim allows following entities to bill medicare on her behalf.

Entity Name	Via Affiliates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003446261 PECOS PAC ID: 1759295512 Enrollment ID: O20031117000104

Entity Name	Vitality Np Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003453051 PECOS PAC ID: 1052747128 Enrollment ID: O20200210000033

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. So Ri 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
So Ri Kim, CRNP 2112 Redbud Ln, Furlong, PA 18925-1530 Ph: (267) 334-3216	So Ri Kim, CRNP 2630 Woodland Rd, Abington, PA 19001-3013 Ph: (215) 884-6776

Reviews and Comments

Nurse Practitioner Nurses in Abington, PA

Andriy Bashta, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-3145
Lisa Juarez, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Road, Dixon Building Ste 201, Abington, PA 19001 Phone: 215-481-6839 Fax: 215-481-3515
Nancy Deangelis, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1245 Highland Ave, Suite #308, Abington, PA 19001 Phone: 215-481-5450 Fax: 215-481-5435
Phu A Dinh, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-2000
Cindy L Wade, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-2000
Victoria Damico, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-2000
Patricia Bussinger, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1200 Old York Rd, Abington, PA 19001 Phone: 215-481-3145

So Ri Kim, CRNP - Medicare Nurse Practitioner in Abington, PA