Jeffrey Jisung Kim, PT DPT in Bryan, TX - Medicare Physical Therapy Provider

Jeffrey Jisung Kim, PT DPT is a medicare enrolled "Physical Therapist" provider in Bryan, Texas. He graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Advance Therapy, Pc and his current practice location is 3700 Cross Park Dr, Bryan, Texas. You can reach out to his office (for appointments etc.) via phone at (979) 774-9958.

Jeffrey Jisung Kim is licensed to practice in Texas (license number 1345176) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073197984.

Contact Information

	Jeffrey Jisung Kim, PT DPT
	3700 Cross Park Dr, Bryan, TX 77802-4137
	(979) 774-9958
	(979) 774-9978

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Jisung Kim
Gender	Male
Speciality	Physical Therapy
Experience	4 Years
Location	3700 Cross Park Dr, Bryan, Texas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeffrey Jisung Kim graduated from medical school in 2020

NPI Data:

NPI Number: 1073197984
Provider Enumeration Date: 05/06/2021
Last Update Date: 05/07/2021

Medicare PECOS Information:

PECOS PAC ID: 3173926250
Enrollment ID: I20210727002672

Medical Identifiers

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

Identifier	Type	State	Issuer
1073197984	NPI	-	NPPES
1345176	Other	TX	PHYSICAL THERAPY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	1345176 (Texas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Advance Therapy, Pc	6507831773	11

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. Jeffrey Jisung Kim allows following entities to bill medicare on his behalf.

Provider Name	Advance Therapy, Pc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1710187737 PECOS PAC ID: 6507831773 Enrollment ID: O20120502000743

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. Jeffrey Jisung 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
Jeffrey Jisung Kim, PT DPT 3700 Cross Park Dr, Bryan, TX 77802-4137 Ph: (979) 774-9958	Jeffrey Jisung Kim, PT DPT 3700 Cross Park Dr, Bryan, TX 77802-4137 Ph: (979) 774-9958

Reviews and Comments

Physical Therapist in Bryan, TX

Aaron Erwin Foreman, P.T.,C.P.O. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2611 E 29th St, Bryan, TX 77802 Phone: 512-663-8324 Fax: 979-704-6316
Mrs. Carol G. South, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 302 E 24th St, Bryan, TX 77803 Phone: 979-821-9478
John Charles Jentsch, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 748 N Earl Rudder Fwy, Bryan, TX 77802 Phone: 979-207-4380
Mrs. Melissa None Merritt, PT, CHT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3201 University Dr E, Suite 415, Bryan, TX 77802 Phone: 919-776-5533
Megan Swint, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4091 Eastchester Dr, Bryan, TX 77802 Phone: 979-213-4850
Tbsi Therapies, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3201 University Dr E Ste 415, Bryan, TX 77802 Phone: 979-776-8896

Jeffrey Jisung Kim, PT DPT - Medicare Physical Therapist in Bryan, TX