Ms Ashley Aejin Kim, OD - Medicare Optometrist in Austin, TX

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Ms Ashley Aejin Kim, OD is a medicare enrolled "Optometrist" provider in Austin, Texas. Her current practice location is 11645 Angus Rd Ste 5, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 345-5641.

Ms Ashley Aejin Kim is licensed to practice in Texas (license number 9538) 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 1073091807.

Contact Information

Ms Ashley Aejin Kim, OD
11645 Angus Rd Ste 5,
Austin, TX 78759-4020
(512) 345-5641
(512) 345-0863

Map and Direction




Healthcare Provider's Profile

Full NameMs Ashley Aejin Kim
GenderFemale
SpecialityOptometrist
Location11645 Angus Rd Ste 5, Austin, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073091807
  • Provider Enumeration Date: 08/02/2018
  • Last Update Date: 03/17/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5597015024
  • Enrollment ID: I20180905000169

Medical Identifiers

Medical identifiers for Ms Ashley Aejin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073091807NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 9538 (Texas)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. Ms Ashley Aejin Kim allows following entities to bill medicare on her behalf.
Provider NameFadel Eye Pro, Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1174806640
PECOS PAC ID: 6406149962
Enrollment ID: O20160721002021
Provider NameMed Southwest Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1609348739
PECOS PAC ID: 4082952874
Enrollment ID: O20190221001481
Provider NameClear Eye & Optical Flower Mound Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1659081917
PECOS PAC ID: 4587035795
Enrollment ID: O20230126002055

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. Ms Ashley Aejin 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
Ms Ashley Aejin Kim, OD
1950 Old Gallows Rd Ste 520,
Vienna, VA 22182-3970

Ph: (703) 847-8899		Ms Ashley Aejin Kim, OD
11645 Angus Rd Ste 5,
Austin, TX 78759-4020

Ph: (512) 345-5641

Reviews and Comments


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Ms. Kathryn Elizabeth Smith, O.D.
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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.