Susan E Kime, PT in San Diego, CA - Medicare Physical Therapist Provider

Susan E Kime, PT is a medicare enrolled "Physical Therapist" provider in San Diego, California. Her current practice location is 4647 Zion Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 528-3912.

Susan E Kime is licensed to practice in California (license number 14918) 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 1376749671.

Contact Information

	Susan E Kime, PT
	4647 Zion Ave, San Diego, CA 92120-2507
	(619) 528-3912
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Susan E Kime
Gender	Female
Speciality	Physical Therapist
Location	4647 Zion Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376749671
Provider Enumeration Date: 06/23/2007
Last Update Date: 10/23/2021

Medicare PECOS Information:

PECOS PAC ID: 9638209547
Enrollment ID: I20100618000449

Medical Identifiers

Medical identifiers for Susan E Kime such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376749671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	14918 (California)	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. Susan E Kime allows following entities to bill medicare on her behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Susan E Kime 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
Susan E Kime, PT 4256 Tambor Ct, San Diego, CA 92124-2713 Ph: (858) 576-1587	Susan E Kime, PT 4647 Zion Ave, San Diego, CA 92120-2507 Ph: (619) 528-3912

Reviews and Comments

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Susan E Kime, PT - Medicare Physical Therapist in San Diego, CA