Jun Yung Kim, FNP in Simi Valley, CA - Medicare Nurse Practitioner

Jun Yung Kim, FNP is a medicare enrolled "Nurse Practitioner - Family" in Simi Valley, California. Her current practice location is 2925 Sycamore Dr, Suite 204/205, Simi Valley, California. You can reach out to her office (for appointments etc.) via phone at (805) 578-9620.

Jun Yung Kim is licensed to practice in California (license number 12763) 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 1073587572.

Contact Information

	Jun Yung Kim, FNP
	2925 Sycamore Dr, Suite 204/205, Simi Valley, CA 93065-1207
	(805) 578-9620
	(805) 955-0498

Map and Direction

Provider's Profile

Full Name	Jun Yung Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2925 Sycamore Dr, Simi Valley, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073587572
Provider Enumeration Date: 02/14/2006
Last Update Date: 03/12/2020

Medicare PECOS Information:

PECOS PAC ID: 4183805237
Enrollment ID: I20110222000883

Medical Identifiers

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

Identifier	Type	State	Issuer
1073587572	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	12763 (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. Jun Yung Kim allows following entities to bill medicare on her behalf.

Entity Name	Alta California Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740290634 PECOS PAC ID: 1658308507 Enrollment ID: O20050721000788

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. Jun Yung 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
Jun Yung Kim, FNP 2925 Sycamore Dr, Suite 204/205, Simi Valley, CA 93065-1207 Ph: (805) 578-9620	Jun Yung Kim, FNP 2925 Sycamore Dr, Suite 204/205, Simi Valley, CA 93065-1207 Ph: (805) 578-9620

Reviews and Comments

Nurse Practitioner Nurses in Simi Valley, CA

Mr. Steffan Matthew Weiner, MSN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 545 Galloping Hill Rd, Simi Valley, CA 93065 Phone: 530-219-6060
Hardik Mahesh Rawal, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 351 Almond Ln, Simi Valley, CA 93065 Phone: 818-675-2711
Mr. Klar Fulgentes Pasilaban, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1822 Springgate Ln Apt G, Simi Valley, CA 93065 Phone: 805-256-7828
Hyangja Huebner, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 450 Country Club Dr Apt D, Simi Valley, CA 93065 Phone: 661-300-0377
Brandi Elyse Ford, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 158 Macaw Ln, Simi Valley, CA 93065 Phone: 805-584-1930
Rome Diostonne Evangelista, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2925 Sycamore Dr Ste 105, Simi Valley, CA 93065 Phone: 818-625-4814

Jun Yung Kim, FNP - Medicare Nurse Practitioner in Simi Valley, CA