Johnny Kim, in Venice, CA - Medicare Social Worker Provider

Johnny Kim, is a medicare enrolled "Social Worker - Clinical" provider in Venice, California. His current practice location is 204 Hampton Drive, Venice, California. You can reach out to his office (for appointments etc.) via phone at (310) 396-6468.

Johnny Kim is licensed to practice in California (license number 93241) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568913820.

Contact Information

	Johnny Kim,
	204 Hampton Drive, Venice, CA 90291
	(310) 396-6468
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Johnny Kim
Gender	Male
Speciality	Social Worker - Clinical
Location	204 Hampton Drive, Venice, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568913820
Provider Enumeration Date: 10/20/2016
Last Update Date: 08/25/2021

Medicare PECOS Information:

PECOS PAC ID: 5991101776
Enrollment ID: I20210901003743

Medical Identifiers

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

Identifier	Type	State	Issuer
1568913820	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	93241 (California)	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. Johnny Kim allows following entities to bill medicare on his behalf.

Entity Name	Clear View Behavioral Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396117388 PECOS PAC ID: 3971902073 Enrollment ID: O20210521001467

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. Johnny 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
Johnny Kim, 204 Hampton Drive, Venice, CA 90291 Ph: () -	Johnny Kim, 204 Hampton Drive, Venice, CA 90291 Ph: (310) 396-6468

Reviews and Comments

Social Worker in Venice, CA

Ms. Kara Leigh Smith, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468
Adriana Viola White, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-614-7801 Fax: 310-392-8402
Ms. Shawnee Isaac Smith, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1025 Indiana Ave, Venice, CA 90291 Phone: 310-570-5856
Sarah Rose Zemp, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-622-0708
Rachel Hirschberg, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 424-200-5397
Dalia Rubi Merida Cuevas, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468
Kelly Gomez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070

Johnny Kim, - Medicare Clinical Social Worker in Venice, CA