Jimmy Kim, PSYD in Glen Oaks, NY - Medicare Psychologist Provider

Jimmy Kim, PSYD is a medicare enrolled "Psychologist" provider in Glen Oaks, New York. His current practice location is 7559 263rd St, Glen Oaks, New York. You can reach out to his office (for appointments etc.) via phone at (718) 470-8428.

Jimmy Kim is licensed to practice in New York (license number 016552) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1376663369.

Contact Information

	Jimmy Kim, PSYD
	7559 263rd St, Glen Oaks, NY 11004-1150
	(718) 470-8428
	(718) 831-2600

Map and Direction

Healthcare Provider's Profile

Full Name	Jimmy Kim
Gender	Male
Speciality	Psychologist
Location	7559 263rd St, Glen Oaks, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376663369
Provider Enumeration Date: 03/31/2007
Last Update Date: 11/23/2009

Medicare PECOS Information:

PECOS PAC ID: 2769574946
Enrollment ID: I20070817000008

Medical Identifiers

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

Identifier	Type	State	Issuer
1376663369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	016552 (New York)	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. Jimmy Kim allows following entities to bill medicare on his behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Jimmy 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
Jimmy Kim, PSYD 972 Brush Hollow Rd, Westbury, NY 11590-1740 Ph: (516) 876-5555	Jimmy Kim, PSYD 7559 263rd St, Glen Oaks, NY 11004-1150 Ph: (718) 470-8428

Reviews and Comments

Psychologist in Glen Oaks, NY

Stefanie Mary Iwanciw, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7559 263rd St, Glen Oaks, NY 11004 Phone: 718-470-8060
Dr. Stewart Lipner, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7559 263rd St, Zucker Hillside Hospital/lij, Glen Oaks, NY 11004 Phone: 718-470-8096 Fax: 718-962-7717
Katherine Burdick, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: The Zucker Hillside Hospital - Dept Of Psychology, 75-59 263rd Street, Glen Oaks, NY 11004 Phone: 718-470-8167
Dr. Taylor Zar, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 7559 263rd St, Glen Oaks, NY 11004 Phone: 718-470-5005
Dr. Ren Jolie Krinick, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7559 263rd St, Glen Oaks, NY 11004 Phone: 718-470-8052
Dr. Andrew Shimkus, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 7559 263rd St, Glen Oaks, NY 11004 Phone: 718-470-8755
Tiana Skawinski, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 7559 263rd St, Glen Oaks, NY 11004 Phone: 718-470-8100

Jimmy Kim, PSYD - Medicare Psychologist in Glen Oaks, NY