Young Jun Kim, FNP in Glen Burnie, MD - Medicare Nurse Practitioner

Young Jun Kim, FNP is a medicare enrolled "Nurse Practitioner - Family" in Glen Burnie, Maryland. His current practice location is 804 Landmark Dr Ste 118, Glen Burnie, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 863-4899.

Young Jun Kim is licensed to practice in Maryland (license number R233728) 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 1417732546.

Contact Information

	Young Jun Kim, FNP
	804 Landmark Dr Ste 118, Glen Burnie, MD 21061-4486
	(410) 863-4899
	Not Available

Map and Direction

Provider's Profile

Full Name	Young Jun Kim
Gender	Male
Speciality	Nurse Practitioner - Family
Location	804 Landmark Dr Ste 118, Glen Burnie, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417732546
Provider Enumeration Date: 08/28/2023
Last Update Date: 08/28/2023

Medicare PECOS Information:

PECOS PAC ID: 9931563525
Enrollment ID: I20230914004178

Medical Identifiers

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

Identifier	Type	State	Issuer
1417732546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R233728 (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. Young Jun Kim allows following entities to bill medicare on his behalf.

Entity Name	Lifebridge Community Gastroenterology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033558416 PECOS PAC ID: 7618108119 Enrollment ID: O20140326001773

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. Young Jun 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
Young Jun Kim, FNP 8840 Papillon Dr, Ellicott City, MD 21043-4000 Ph: (443) 718-1037	Young Jun Kim, FNP 804 Landmark Dr Ste 118, Glen Burnie, MD 21061-4486 Ph: (410) 863-4899

Reviews and Comments

Nurse Practitioner Nurses in Glen Burnie, MD

Ms. Docia Owusu, CRNP-PMH Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7575 E Howard Rd, Glen Burnie, MD 21060 Phone: 410-768-8200
Marlowe Ann Driscoll, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7671 Quarterfield Rd Ste 301, Glen Burnie, MD 21061 Phone: 855-527-7246 Fax: 866-229-5063
Jesse Okonigbo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 116 Warwickshire Ln, Apt E, Glen Burnie, MD 21061 Phone: 302-382-7248
Mrs. Theresa Eileen Deveaux, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Hospital Dr, Glen Burnie, MD 21061 Phone: 410-553-8300 Fax: 410-553-8349
Ms. Linda Jean Swallow, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 305 Hospital Dr, 1st Floor, Glen Burnie, MD 21061 Phone: 410-552-8154 Fax: 410-553-8134
Mary Bourbon, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 Phone: 410-768-5050
Christine Marie Habersaat, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1405 Madison Park Dr Ste 1, Glen Burnie, MD 21061 Phone: 410-582-9434

Young Jun Kim, FNP - Medicare Nurse Practitioner in Glen Burnie, MD