Sunghui Kim, FNP in La Mesa, CA - Medicare Nurse Practitioner

Sunghui Kim, FNP is a medicare enrolled "Nurse Practitioner - Family" in La Mesa, California. Her current practice location is 5555 Grossmont Center Dr, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 740-6000.

Sunghui Kim is licensed to practice in California (license number 95026472) 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 1265210819.

Contact Information

	Sunghui Kim, FNP
	5555 Grossmont Center Dr, La Mesa, CA 91942-3019
	(619) 740-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Sunghui Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5555 Grossmont Center Dr, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265210819
Provider Enumeration Date: 09/15/2023
Last Update Date: 09/15/2023

Medicare PECOS Information:

PECOS PAC ID: 0547611618
Enrollment ID: I20240112003185

Medical Identifiers

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

Identifier	Type	State	Issuer
1265210819	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95026472 (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. Sunghui Kim allows following entities to bill medicare on her behalf.

Entity Name	California Care Wellness Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447874516 PECOS PAC ID: 2264856236 Enrollment ID: O20200723000732

Entity Name	Myndfull Care Management California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770206435 PECOS PAC ID: 4981070893 Enrollment ID: O20221018002310

Entity Name	Geri Connection
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447976907 PECOS PAC ID: 0446629059 Enrollment ID: O20221202001861

Entity Name	Myndfull Care California Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912699703 PECOS PAC ID: 1557717238 Enrollment ID: O20231101001710

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. Sunghui 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
Sunghui Kim, FNP 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 740-6000	Sunghui Kim, FNP 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 Ph: (619) 740-6000

Reviews and Comments

Nurse Practitioner Nurses in La Mesa, CA

Miss April Julia Brewster, PMHNP-BC, APRN, MSN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5555 Grossmont Center Dr, 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-296-6182
Wendy M Alva, CPNP, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 360, La Mesa, CA 91942 Phone: 858-279-1223
Farhana Maswood, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5332 Jackson Dr, La Mesa, CA 91942 Phone: 619-303-0933
Hoda Melissa Kashikar, RN, MSN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8881 Fletcher Pkwy, Suite 360, La Mesa, CA 91942 Phone: 619-460-2700
Chelsea Provenzano, MSN, FNP- C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8851 Center Dr Ste 408, La Mesa, CA 91942 Phone: 619-583-1174 Fax: 619-583-4609
Hannah Bradley, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5111 Garfield St Ste B, La Mesa, CA 91941 Phone: 619-698-9375
Maja Ceranic, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8665 La Mesa Blvd, La Mesa, CA 91942 Phone: 619-465-0702

Sunghui Kim, FNP - Medicare Nurse Practitioner in La Mesa, CA