Jiyeon Kim, NURSE PRACTITIONER in Reseda, CA - Medicare Nurse Practitioner

Jiyeon Kim, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Reseda, California. Her current practice location is 18107 Sherman Way Ste 200, Reseda, California. You can reach out to her office (for appointments etc.) via phone at (818) 783-1002.

Jiyeon Kim is licensed to practice in California (license number 95006590) 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 1043780216.

Contact Information

	Jiyeon Kim, NURSE PRACTITIONER
	18107 Sherman Way Ste 200, Reseda, CA 91335-8802
	(818) 783-1002
	Not Available

Map and Direction

Provider's Profile

Full Name	Jiyeon Kim
Gender	Female
Speciality	Nurse Practitioner
Location	18107 Sherman Way Ste 200, Reseda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043780216
Provider Enumeration Date: 11/30/2018
Last Update Date: 03/31/2022

Medicare PECOS Information:

PECOS PAC ID: 4789924713
Enrollment ID: I20190328002553

Medical Identifiers

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

Identifier	Type	State	Issuer
1043780216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95006590 (California)	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. Jiyeon Kim allows following entities to bill medicare on her behalf.

Entity Name	Pacific Advanced Kidney Solutions Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992160501 PECOS PAC ID: 0547556003 Enrollment ID: O20160908002413

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. Jiyeon 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
Jiyeon Kim, NURSE PRACTITIONER 18107 Sherman Way Ste 200, Reseda, CA 91335-8802 Ph: (818) 783-1112	Jiyeon Kim, NURSE PRACTITIONER 18107 Sherman Way Ste 200, Reseda, CA 91335-8802 Ph: (818) 783-1002

Reviews and Comments

Nurse Practitioner Nurses in Reseda, CA

Sukhwinder Kaur, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7100 Yarmouth Ave, Reseda, CA 91335 Phone: 818-488-0009
Mr. Elizabeth Salazar, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6906 Topeka Dr, Reseda, CA 91335 Phone: 818-454-5973
Ms. Lydia Kay Wilson, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18855 Victory Blvd, Attn: Billing Department, Reseda, CA 91335 Phone: 818-774-3354 Fax: 818-757-4401
Mrs. Elizabeth Videla Lalane, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 19353 Victory Blvd., Reseda, CA 91335 Phone: 818-996-4742
Maria Therese Dela Merced, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7012 Reseda Blvd Ste 100, Reseda, CA 91335 Phone: 747-265-6423
Dr. Poy Sakjirapapong Yamada, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18107 Sherman Way Ste 200, Reseda, CA 91335 Phone: 818-783-1002

Jiyeon Kim, NURSE PRACTITIONER - Medicare Nurse Practitioner in Reseda, CA