Song Jin Sophie Kim, PA in Centreville, VA - Medicare Physician Assistant

Song Jin Sophie Kim, PA is a medicare enrolled "Physician Assistant" in Centreville, Virginia. Her current practice location is 13880 Braddock Rd, Suite 301, Centreville, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 222-2773.

Song Jin Sophie Kim is licensed to practice in Virginia (license number 0110002960) 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 1336380203.

Contact Information

	Song Jin Sophie Kim, PA
	13880 Braddock Rd, Suite 301, Centreville, VA 20121-2459
	(703) 222-2773
	(703) 222-6093

Map and Direction

Provider's Profile

Full Name	Song Jin Sophie Kim
Gender	Female
Speciality	Physician Assistant
Location	13880 Braddock Rd, Centreville, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336380203
Provider Enumeration Date: 03/23/2009
Last Update Date: 02/12/2015

Medicare PECOS Information:

PECOS PAC ID: 7012209455
Enrollment ID: I20160706000667

Medical Identifiers

Medical identifiers for Song Jin Sophie Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336380203	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	0110002960 (Virginia)	Primary

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. Song Jin Sophie 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
Song Jin Sophie Kim, PA 13880 Braddock Rd, Suite 301, Centreville, VA 20121-2459 Ph: (703) 222-2773	Song Jin Sophie Kim, PA 13880 Braddock Rd, Suite 301, Centreville, VA 20121-2459 Ph: (703) 222-2773

Reviews and Comments

Physician Assistant Nurses in Centreville, VA

Ms. Navneen Chahal, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6201 Centreville Rd Ste 200, Centreville, VA 20121 Phone: 703-830-5600 Fax: 703-830-6942
Mr. Eric Jividen, MPAS, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13700 Crystalford Ct, Centreville, VA 20120 Phone: 703-969-4190
Miss Michelle Burton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13880 Braddock Rd Ste 301, Centreville, VA 20121 Phone: 702-222-2773 Fax: 703-222-6093
Asma Jamil, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 13890 Braddock Rd, #100, Centreville, VA 20121 Phone: 703-738-4339
Candice M. Driscoll, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6201 Centreville Rd Ste 100, Centreville, VA 20121 Phone: 703-263-9600 Fax: 844-560-1480
Gilda Loga, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6211 Centreville Rd, Suite 700, Centreville, VA 20121 Phone: 703-222-0002 Fax: 703-449-9890

Song Jin Sophie Kim, PA - Medicare Physician Assistant in Centreville, VA