William Kim, CRNP in Columbia, MD - Medicare Nurse Practitioner

William Kim, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Columbia, Maryland. His current practice location is 5900 Waterloo Rd Ste 200, Columbia, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 740-2900.

William Kim is licensed to practice in Maryland (license number R226443) 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 1235892332.

Contact Information

	William Kim, CRNP
	5900 Waterloo Rd Ste 200, Columbia, MD 21045-2641
	(410) 740-2900
	Not Available

Map and Direction

Provider's Profile

Full Name	William Kim
Gender	Male
Speciality	Nurse Practitioner - Family
Location	5900 Waterloo Rd Ste 200, Columbia, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235892332
Provider Enumeration Date: 10/16/2021
Last Update Date: 03/16/2023

Medicare PECOS Information:

PECOS PAC ID: 9436538212
Enrollment ID: I20220624001672

Medical Identifiers

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

Identifier	Type	State	Issuer
1235892332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R226443 (Maryland)	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. William Kim allows following entities to bill medicare on his behalf.

Entity Name	Maryland Primary Care Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083667067 PECOS PAC ID: 8729981832 Enrollment ID: O20040128000134

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. William 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
William Kim, CRNP 7580 Buckingham Blvd Ste 220, Hanover, MD 21076-3210 Ph: (410) 729-5100	William Kim, CRNP 5900 Waterloo Rd Ste 200, Columbia, MD 21045-2641 Ph: (410) 740-2900

Reviews and Comments

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William Kim, CRNP - Medicare Nurse Practitioner in Columbia, MD