Taeseong Kim, - Medicare Nurse Practitioner in Mineola, NY

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Taeseong Kim, is a medicare enrolled "Nurse Practitioner - Acute Care" in Mineola, New York. His current practice location is 259 1st St # Er, Mineola, New York. You can reach out to his office (for appointments etc.) via phone at (516) 663-2201.

Taeseong Kim is licensed to practice in New York (license number 432762) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1013518851.

Contact Information

Taeseong Kim,
259 1st St # Er,
Mineola, NY 11501-3957
(516) 663-2201
Not Available

Map and Direction




Provider's Profile

Full NameTaeseong Kim
GenderMale
SpecialityNurse Practitioner - Acute Care
Location259 1st St # Er, Mineola, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013518851
  • Provider Enumeration Date: 11/06/2020
  • Last Update Date: 10/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5698173870
  • Enrollment ID: I20211004000729

Medical Identifiers

Medical identifiers for Taeseong Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013518851NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 432762 (New York)Primary
363LF0000XNurse Practitioner - Family 346753 (New York)Secondary

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. Taeseong Kim allows following entities to bill medicare on his behalf.
Entity NameNew York University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026

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. Taeseong 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 AddressPractice Location Address
Taeseong Kim,
259 1st St # Er,
Mineola, NY 11501-3957

Ph: (516) 663-2201		Taeseong Kim,
259 1st St # Er,
Mineola, NY 11501-3957

Ph: (516) 663-2201

Reviews and Comments


Nurse Practitioner Nurses in Mineola, NY

Laura Lorraine Mckenna, NNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-2406    Fax: 516-663-3759
Ms. Marina Pavlovic, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 120 Mineola Blvd, Mineola, NY 11501
Phone: 516-663-3000    
Erin Colleen Krause, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Neselda Pabilona Ling, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Julie Lyn Costello, ACNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-0333    
Mrs. Abigail Rose Mcnall, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 200 Old Country Rd, Suite 370, Mineola, NY 11501
Phone: 516-663-4525    Fax: 516-663-4532

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.