Jonathan Kim, DPM in Indio, CA - Medicare Podiatry Provider

Jonathan Kim, DPM is a medicare enrolled "Podiatrist" provider in Indio, California. He went to Temple University School Of Medicine and graduated in 2013 and has 11 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Southern California Permanente Medical Group and his current practice location is 81709 Dr Carreon Blvd Ste D3, Indio, California. You can reach out to his office (for appointments etc.) via phone at (760) 863-0070.

Jonathan Kim is licensed to practice in California (license number E5392) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1104220102.

Contact Information

	Jonathan Kim, DPM
	81709 Dr Carreon Blvd Ste D3, Indio, CA 92201-5578
	(760) 863-0070
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Kim
Gender	Male
Speciality	Podiatry
Experience	11 Years
Location	81709 Dr Carreon Blvd Ste D3, Indio, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jonathan Kim attended and graduated from Temple University School Of Medicine in 2013

NPI Data:

NPI Number: 1104220102
Provider Enumeration Date: 10/20/2014
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 8628334034
Enrollment ID: I20171116002831

Medical Identifiers

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

Identifier	Type	State	Issuer
1104220102	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
213E00000X	Podiatrist	E5392 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	7951

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. Jonathan Kim allows following entities to bill medicare on his behalf.

Provider Name	Southern California Permanente Medical Group
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Jonathan 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
Jonathan Kim, DPM 74000 Country Club Dr Ste E4, Palm Desert, CA 92260-1678 Ph: (760) 848-8231	Jonathan Kim, DPM 81709 Dr Carreon Blvd Ste D3, Indio, CA 92201-5578 Ph: (760) 863-0070

Reviews and Comments

Podiatrist in Indio, CA

Foot Ankle Associated Of The Desert Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 82013 Dr Carreon Blvd, Indio, CA 92201 Phone: 760-863-0048
Dr. John E Ebaugh, D.P.M. Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 81709 Dr Carreon Blvd, Suite D3, Indio, CA 92201 Phone: 760-863-0070 Fax: 760-863-0048
Foot & Wound Care Of Indio Podiatrist Medicare: Medicare Enrolled Practice Location: 82013 Doctor Carreon Blvd Ste H, Indio, CA 92201 Phone: 760-610-8398
Luyen Pham, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 81713 Us Hwy 11, Ste F, Indio, CA 92201 Phone: 760-342-2493
Foot And Ankle Associates Of The Desert Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 81709 Dr Carreon Blvd, Ste D3, Indio, CA 92201 Phone: 760-863-0070 Fax: 760-863-0048
Luyen Pham Dpm Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 81713 Us Highway 111, Indio, CA 92201 Phone: 760-342-2493 Fax: 760-342-2549

Jonathan Kim, DPM - Medicare Podiatrist in Indio, CA