Annie Kim, OD in New York, NY - Medicare Optometrist Provider

Annie Kim, OD is a medicare enrolled "Optometrist" provider in New York, New York. Her current practice location is 2384 Broadway, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 724-0850.

Annie Kim is licensed to practice in New York (license number TUV009678) 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 1992413066.

Contact Information

	Annie Kim, OD
	2384 Broadway, New York, NY 10024-1703
	(212) 724-0850
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Annie Kim
Gender	Female
Speciality	Optometrist
Location	2384 Broadway, New York, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992413066
Provider Enumeration Date: 11/08/2022
Last Update Date: 11/08/2022

Medicare PECOS Information:

PECOS PAC ID: 2163956103
Enrollment ID: I20241113000986

Medical Identifiers

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

Identifier	Type	State	Issuer
1992413066	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	TUV009678 (New York)	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. Annie Kim allows following entities to bill medicare on her behalf.

Provider Name	Envaio Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1639845308 PECOS PAC ID: 2264801133 Enrollment ID: O20221215002067

Provider Name	Eurooptica Ii Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1962258731 PECOS PAC ID: 3779018379 Enrollment ID: O20241119003821

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. Annie 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
Annie Kim, OD 315 W 33rd St Apt 11b, New York, NY 10001-2772 Ph: () -	Annie Kim, OD 2384 Broadway, New York, NY 10024-1703 Ph: (212) 724-0850

Reviews and Comments

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Annie Kim, OD - Medicare Optometrist in New York, NY