Jeong Hye Kim, PHD is a
Clinical Neuropsychologist based in Schererville, Indiana. Jeong Hye Kim is licensed to practice in Indiana (license number 20043798A) and her current practice location is
1545 W Us Hwy 30, Schererville, Indiana. She can be reached at her office (for appointments etc.) via phone at
(219) 703-2447.
NPI number for Jeong Hye Kim is 1033808712 and her current mailing address is 8558 Broadway, Merrillville, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033808712.
Healthcare Provider's Profile
| Full Name | Jeong Hye Kim |
|---|
| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1545 W Us Hwy 30, Schererville, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1033808712
- Provider Enumeration Date: 05/08/2023
- Last Update Date: 03/27/2024
Medical Identifiers
Medical identifiers for Jeong Hye Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033808712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 20043798A (Indiana) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 20043798A (Indiana) | Primary |
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. Jeong Hye Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeong Hye Kim, PHD
8558 Broadway,
Merrillville, IN 46410-7032
Ph: (219) 392-7084 | Jeong Hye Kim, PHD
1545 W Us Hwy 30,
Schererville, IN 46375
Ph: (219) 703-2447 |
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