Dr Grace Y Kim, PHD in Minneapolis, MN - Medicare Psychologist Provider

Dr Grace Y Kim, PHD is a medicare enrolled "Psychologist" provider in Minneapolis, Minnesota. Her current practice location is 825 Nicollet Mall, Suite 415, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 345-5194.

Dr Grace Y Kim is licensed to practice in Minnesota (license number LP5726) 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 1790012318.

Contact Information

	Dr Grace Y Kim, PHD
	825 Nicollet Mall, Suite 415, Minneapolis, MN 55402-2606
	(612) 345-5194
	(612) 354-7974

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Grace Y Kim
Gender	Female
Speciality	Psychologist
Location	825 Nicollet Mall, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790012318
Provider Enumeration Date: 11/04/2009
Last Update Date: 02/13/2017

Medicare PECOS Information:

PECOS PAC ID: 8527245257
Enrollment ID: I20141009002526

Medical Identifiers

Medical identifiers for Dr Grace Y Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790012318	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP5726 (Minnesota)	Primary
103T00000X	Psychologist	PSY1000525 (District Of Columbia)	Secondary

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. Dr Grace Y Kim allows following entities to bill medicare on her behalf.

Entity Name	Twin Cities Psychological Services Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487065660 PECOS PAC ID: 1759506637 Enrollment ID: O20140709001031

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. Dr Grace Y 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
Dr Grace Y Kim, PHD 825 Nicollet Mall, Suite 1455, Minneapolis, MN 55402-2606 Ph: (612) 345-5194	Dr Grace Y Kim, PHD 825 Nicollet Mall, Suite 415, Minneapolis, MN 55402-2606 Ph: (612) 345-5194

Reviews and Comments

Psychologist in Minneapolis, MN

Shannon Marie Kehle, PH.D., L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-467-1564
Amanda Mulfinger, Psychologist Medicare: Medicare Enrolled Practice Location: 701 Park Ave S, Hennepin County Medical Center/revenue Management, Minneapolis, MN 55415 Phone: 612-873-3044 Fax: 612-630-8242
Dr. Jennifer Rene Gozy, PSYD, LP Psychologist Medicare: Medicare Enrolled Practice Location: 7601 Wayzata Blvd, Minneapolis, MN 55426 Phone: 612-223-8898 Fax: 612-223-8899
Dr. Kristi E. White, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2700 E Lake St, Minneapolis, MN 55406 Phone: 612-873-6963 Fax: 612-276-0188
Patricia Lynn Layton, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3033 Excelsior Blvd, Suite 565, Minneapolis, MN 55416 Phone: 612-926-8802 Fax: 612-926-8915
Mary Melton, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Fulton St Se, Building 2, Minneapolis, MN 55455 Phone: 612-672-7422
Dr. Virginia Anne Mcdermott, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 825 Nicollet Mall, Suite 1630, Minneapolis, MN 55402 Phone: 612-673-9988

Dr Grace Y Kim, PHD - Medicare Psychologist in Minneapolis, MN