Jennifer J Kim, OD - Medicare Optometrist in Mount Clemens, MI

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Jennifer J Kim, OD is a medicare enrolled "Optometrist" provider in Mount Clemens, Michigan. Her current practice location is 118 Cass Ave, Mount Clemens, Michigan. You can reach out to her office (for appointments etc.) via phone at (586) 468-7370.

Jennifer J Kim is licensed to practice in Michigan (license number 4901004914) 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 1295010627.

Contact Information

Jennifer J Kim, OD
118 Cass Ave,
Mount Clemens, MI 48043-2204
(586) 468-7370
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameJennifer J Kim
GenderFemale
SpecialityOptometrist
Location118 Cass Ave, Mount Clemens, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1295010627
  • Provider Enumeration Date: 10/17/2011
  • Last Update Date: 11/05/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0648419903
  • Enrollment ID: I20140624001798

Medical Identifiers

Medical identifiers for Jennifer J Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295010627NPI-NPPES
1295010627MedicaidMI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 14259 (California)Secondary
152W00000XOptometrist 4901004914 (Michigan)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. Jennifer J Kim allows following entities to bill medicare on her behalf.
Provider NameJennifer Kim Od A Professional Corporation
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1205560034
PECOS PAC ID: 5698149581
Enrollment ID: O20230315002669

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. Jennifer J 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
Jennifer J Kim, OD
118 Cass Ave,
Mount Clemens, MI 48043-2204

Ph: (586) 468-7370		Jennifer J Kim, OD
118 Cass Ave,
Mount Clemens, MI 48043-2204

Ph: (586) 468-7370

Reviews and Comments


Optometrist in Mount Clemens, MI

Dr. Jennifer M Claudio, O.D
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 118 Cass Ave, Mount Clemens, MI 48043
Phone: 586-468-7612    Fax: 586-468-9701
Kristina Atleski,
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 118 Cass Ave, Mount Clemens, MI 48043
Phone: 586-468-7612    
Dr. Robert Guy Farrell Jr., O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 140 Macomb Pl, Mount Clemens, MI 48043
Phone: 586-322-1875    
Svs Vision Inc
Optometrist
Medicare: Medicare Enrolled
Practice Location: 118 Cass Ave, Mount Clemens, MI 48043
Phone: 586-468-7612    Fax: 586-468-9701
Mrs. Ann Fredal, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 136 Cass Ave, Mount Clemens, MI 48043
Phone: 586-468-4211    
Tessa Fredal, O.D.
Optometrist
Medicare: Medicare Enrolled
Practice Location: 136 Cass Ave, Mount Clemens, MI 48043
Phone: 586-468-4211    

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.