Mi Suk Kim, is a medicare enrolled "Physical Therapist" provider in Englewood Cliffs, New Jersey. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Physical Therapy. Her current practice location is
464 Hudson Ter Ste 204, Englewood Cliffs, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(917) 582-6187.
Mi Suk Kim is licensed to practice in New Jersey (license number 40QA01625000) 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 1295015063.
Healthcare Provider's Profile
| Full Name | Mi Suk Kim |
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| Gender | Female |
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| Speciality | Physical Therapy |
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| Experience | 28 Years |
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| Location | 464 Hudson Ter Ste 204, Englewood Cliffs, New Jersey |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mi Suk Kim graduated from medical school in 1996
NPI Data:
- NPI Number: 1295015063
- Provider Enumeration Date: 08/24/2011
- Last Update Date: 10/10/2019
Medicare PECOS Information:
- PECOS PAC ID: 3274966619
- Enrollment ID: I20191126000246
Medical Identifiers
Medical identifiers for Mi Suk Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295015063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 171100000X | Acupuncturist | 25MZ00051900 (New Jersey) | Secondary |
| 225100000X | Physical Therapist | 40QA01625000 (New Jersey) | 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. Mi Suk Kim allows following entities to bill medicare on her behalf.
| Provider Name | Myoung Health Care Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1972145423
PECOS PAC ID: 1557793650
Enrollment ID: O20191111002376 |
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| Provider Name | Inu Health Clinic Pc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1124741202
PECOS PAC ID: 3476927385
Enrollment ID: O20230316000026 |
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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. Mi Suk 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 |
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Mi Suk Kim,
6 Horizon Rd, Apt # 2504,
Fort Lee, NJ 07024-6652
Ph: (917) 582-6187 | Mi Suk Kim,
464 Hudson Ter Ste 204,
Englewood Cliffs, NJ 07632-2917
Ph: (917) 582-6187 |
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