Michael Kim, OD - Medicare Optometrist in Stone Ridge, VA

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Michael Kim, OD is a medicare enrolled "Optometrist" provider in Stone Ridge, Virginia. His current practice location is 42015 Village Center Plz Ste 103, Stone Ridge, Virginia. You can reach out to his office (for appointments etc.) via phone at (703) 542-8888.

Michael Kim is licensed to practice in Virginia (license number 0618002949) 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 1215525829.

Contact Information

Michael Kim, OD
42015 Village Center Plz Ste 103,
Stone Ridge, VA 20105-3031
(703) 542-8888
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMichael Kim
GenderMale
SpecialityOptometrist
Location42015 Village Center Plz Ste 103, Stone Ridge, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215525829
  • Provider Enumeration Date: 01/08/2021
  • Last Update Date: 01/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 7911313804
  • Enrollment ID: I20210301000876

Medical Identifiers

Medical identifiers for Michael Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215525829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 0618002949 (Virginia)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. Michael Kim allows following entities to bill medicare on his behalf.
Provider NameJimmy Chen, Od, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1568756179
PECOS PAC ID: 9830362425
Enrollment ID: O20111026000648

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. Michael 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
Michael Kim, OD
12640 Magna Carta Rd,
Herndon, VA 20171-2709

Ph: (703) 579-7019		Michael Kim, OD
42015 Village Center Plz Ste 103,
Stone Ridge, VA 20105-3031

Ph: (703) 542-8888

Reviews and Comments


Optometrist in Stone Ridge, VA

Associates In Eyecare Stone Ridge Pc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 42015 Village Center Plz, Suite 103, Stone Ridge, VA 20105
Phone: 703-542-8888    Fax: 703-542-8856
Stacy Marie Jaffe, O.D.
Optometrist
Medicare: Accepting Medicare Assignments
Practice Location: 42015 Village Plz, Ste 103, Stone Ridge, VA 20105
Phone: 703-542-8888    Fax: 703-542-8856
Myeyedr Optometry Of Virginia, Pllc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 42015 Village Plz, Ste 103, Stone Ridge, VA 20105
Phone: 703-542-8888    

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.