Dr Bo Kyong Shin, DPM - Medicare Podiatrist in Los Angeles, CA

Dr Bo Kyong Shin, DPM is a medicare enrolled "Podiatrist" provider in Los Angeles, California. She went to Kent State University College Of Podiatric Medicine and graduated in 2008 and has 16 years of diverse experience with area of expertise as Podiatry. She is a member of the group practice Queenscare Health Centers and her current practice location is 4618 Fountain Ave, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 953-7170.

Dr Bo Kyong Shin is licensed to practice in New Jersey (license number 25MD00308100) 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 1568769149.

Contact Information

Dr Bo Kyong Shin, DPM
4618 Fountain Ave,
Los Angeles, CA 90029-1830
(323) 953-7170
(323) 663-2379

Map and Direction




Healthcare Provider's Profile

Full NameDr Bo Kyong Shin
GenderFemale
SpecialityPodiatry
Experience16 Years
Location4618 Fountain Ave, Los Angeles, California
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:
  • Dr Bo Kyong Shin attended and graduated from Kent State University College Of Podiatric Medicine in 2008
  NPI Data:
  • NPI Number: 1568769149
  • Provider Enumeration Date: 02/17/2011
  • Last Update Date: 09/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1557532439
  • Enrollment ID: I20110926000671

Medical Identifiers

Medical identifiers for Dr Bo Kyong Shin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568769149NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213E00000XPodiatrist 006460 (New York)Secondary
213E00000XPodiatrist 25MD00308100 (New Jersey)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Queenscare Health Centers307261961820

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. Dr Bo Kyong Shin allows following entities to bill medicare on her behalf.
Provider NameOptum Medical Care Of New Jersey Pc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1578665048
PECOS PAC ID: 3072650290
Enrollment ID: O20091021000129

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. Dr Bo Kyong Shin 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
Dr Bo Kyong Shin, DPM
404 Shatto Pl # 351a,
Los Angeles, CA 90020-1723

Ph: (404) 825-8099
Dr Bo Kyong Shin, DPM
4618 Fountain Ave,
Los Angeles, CA 90029-1830

Ph: (323) 953-7170

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.