Ahjin Kim, in Davenport, FL - Medicare Nurse Anesthetist, Certified Registered

Ahjin Kim, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Davenport, Florida. Her current practice location is 1012 Laguna Loop Unit 304, Davenport, Florida. You can reach out to her office (for appointments etc.) via phone at (253) 880-8916.

Ahjin Kim is licensed to practice in Florida (license number CRNA9509251) 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 1811641970.

Contact Information

	Ahjin Kim,
	1012 Laguna Loop Unit 304, Davenport, FL 33896-5699
	(253) 880-8916
	Not Available

Map and Direction

Provider's Profile

Full Name	Ahjin Kim
Gender	Female
Speciality	Nurse Anesthetist, Certified Registered
Location	1012 Laguna Loop Unit 304, Davenport, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811641970
Provider Enumeration Date: 02/08/2022
Last Update Date: 02/08/2022

Medicare PECOS Information:

PECOS PAC ID: 5890174510
Enrollment ID: I20220625000615

Medical Identifiers

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

Identifier	Type	State	Issuer
1811641970	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN60533404 (Washington)	Secondary
163W00000X	Registered Nurse	RN9509251 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	CRNA9509251 (Florida)	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. Ahjin Kim allows following entities to bill medicare on her behalf.

Entity Name	Ams National Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316330830 PECOS PAC ID: 3870813025 Enrollment ID: O20150529000613

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. Ahjin 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
Ahjin Kim, 1012 Laguna Loop Unit 304, Davenport, FL 33896-5699 Ph: (253) 880-8916	Ahjin Kim, 1012 Laguna Loop Unit 304, Davenport, FL 33896-5699 Ph: (253) 880-8916

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Davenport, FL

Sean Charles Pacamalan, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 407-222-2259
Daniel Marvin Brenner, APRN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40124 Us-27, Davenport, FL 33837 Phone: 863-419-4000
Charles Jason Calhoun, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-422-4971
Amanda Johnson, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-412-2599
Rachel Alison Kenyon, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 40100 Highway 27, Davenport, FL 33837 Phone: 863-419-2399 Fax: 863-419-2405

Ahjin Kim, - Medicare Nurse Anesthetist, Certified Registered in Davenport, FL