Jeong Hye Kim, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Schererville, Indiana. Her current practice location is
1545 W Us Hwy 30, Schererville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(219) 703-2447.
Jeong Hye Kim is licensed to practice in Indiana (license number 20043798A) 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 1033808712.
Healthcare Provider's Profile
| Full Name | Jeong Hye Kim |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1545 W Us Hwy 30, Schererville, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033808712
- Provider Enumeration Date: 05/08/2023
- Last Update Date: 03/27/2024
Medicare PECOS Information:
- PECOS PAC ID: 6002254752
- Enrollment ID: I20240401002719
Medical Identifiers
Medical identifiers for Jeong Hye Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033808712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 20043798A (Indiana) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 20043798A (Indiana) | 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. Jeong Hye Kim allows following entities to bill medicare on her behalf.
| Entity Name | Community Care Network Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457610487
PECOS PAC ID: 3678737012
Enrollment ID: O20120614000331 |
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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. Jeong Hye 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 |
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Jeong Hye Kim, PHD
8558 Broadway,
Merrillville, IN 46410-7032
Ph: (219) 392-7084 | Jeong Hye Kim, PHD
1545 W Us Hwy 30,
Schererville, IN 46375
Ph: (219) 703-2447 |
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