Jonathan D Kim Dpm Pc is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in San Gabriel, California. Their current practice location is
190 S Walnut Grove Ave Apt B, San Gabriel, California. You can reach out to their office (for appointments etc.) via phone at
(442) 599-4470.
Jonathan D Kim Dpm Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Jonathan D Kim Dpm Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1376384727.
Healthcare Provider's Profile
| Full Name | Jonathan D Kim Dpm Pc |
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| Type | Facility |
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| Speciality | Podiatrist - Foot & Ankle Surgery |
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| Location | 190 S Walnut Grove Ave Apt B, San Gabriel, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1376384727
- Provider Enumeration Date: 05/31/2024
- Last Update Date: 05/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668908740
- Enrollment ID: O20241212002071
Medical Identifiers
Medical identifiers for Jonathan D Kim Dpm Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376384727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 213ES0103X | Podiatrist - Foot & Ankle Surgery | (* (Not Available)) | Primary |
| 261QP1100X | Clinic/center - Podiatric | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Jonathan D Kim Dpm Pc acts as a billing entity for following providers:
| Provider Name | Jonathan Dohyung Kim |
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| Provider Type | Practitioner - Podiatry |
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| Provider Identifiers | NPI Number: 1104220102
PECOS PAC ID: 8628334034
Enrollment ID: I20171116002831 |
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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. Jonathan D Kim Dpm Pc 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 |
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Jonathan D Kim Dpm Pc
190 S Walnut Grove Ave Apt B,
San Gabriel, CA 91776-1757
Ph: (442) 599-4470 | Jonathan D Kim Dpm Pc
190 S Walnut Grove Ave Apt B,
San Gabriel, CA 91776-1757
Ph: (442) 599-4470 |
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