Miss Annie Kyungjin Han, NP - Medicare Nurse Practitioner in Cumming, GA

Miss Annie Kyungjin Han, NP is a medicare enrolled "Nurse Practitioner - Acute Care" in Cumming, Georgia. She went to Emory University School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northside Surgical Professional Services Llc and her current practice location is 1505 Northside Forsyth Drive, Suite 2500, Cumming, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 292-4540.

Miss Annie Kyungjin Han is licensed to practice in Georgia (license number RN250618) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962036905.

Contact Information

Miss Annie Kyungjin Han, NP
1505 Northside Forsyth Drive, Suite 2500,
Cumming, GA 30041
(770) 292-4540
(770) 292-4541

Map and Direction




Provider's Profile

Full NameMiss Annie Kyungjin Han
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1505 Northside Forsyth Drive, Cumming, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Miss Annie Kyungjin Han attended and graduated from Emory University School Of Medicine in 2019
  NPI Data:
  • NPI Number: 1962036905
  • Provider Enumeration Date: 02/28/2020
  • Last Update Date: 02/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7911320023
  • Enrollment ID: I20200708001994

Medical Identifiers

Medical identifiers for Miss Annie Kyungjin Han such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962036905NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care RN250618 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northside Hospital CherokeeCanton, GAHospital
Northside Hospital ForsythCumming, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northside Surgical Professional Services Llc8628253424262

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. Miss Annie Kyungjin Han allows following entities to bill medicare on her behalf.
Entity NameNorthside Surgical Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356630990
PECOS PAC ID: 8628253424
Enrollment ID: O20110420000598

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. Miss Annie Kyungjin Han 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 AddressPractice Location Address
Miss Annie Kyungjin Han, NP
1945 Savoy Dr Apt 5205,
Atlanta, GA 30341-1036

Ph: (205) 601-2039
Miss Annie Kyungjin Han, NP
1505 Northside Forsyth Drive, Suite 2500,
Cumming, GA 30041

Ph: (770) 292-4540

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.