Mina Kim, is a medicare enrolled "Counselor" provider in Anaheim, California. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Kcs, Inc. and her current practice location is
451 W Lincoln Ave Ste 100, Anaheim, California. You can reach out to her office (for appointments etc.) via phone at
(714) 503-6550.
Mina Kim is licensed to practice in * (Not Available) (license number ) 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 1962768986.
Healthcare Provider's Profile
| Full Name | Mina Kim |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 10 Years |
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| Location | 451 W Lincoln Ave Ste 100, Anaheim, California |
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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:
- Mina Kim graduated from medical school in 2016
NPI Data:
- NPI Number: 1962768986
- Provider Enumeration Date: 04/03/2012
- Last Update Date: 07/21/2026
Medicare PECOS Information:
- PECOS PAC ID: 3971971409
- Enrollment ID: I20221115000704
Medical Identifiers
Medical identifiers for Mina Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962768986 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 92575 (California) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kcs, Inc. | 0446495105 | 16 |
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. Mina Kim allows following entities to bill medicare on her behalf.
| Entity Name | Kcs, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861525602
PECOS PAC ID: 0446495105
Enrollment ID: O20211118000437 |
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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. Mina 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 |
|---|
Mina Kim,
451 W Lincoln Ave Ste 100,
Anaheim, CA 92805-2912
Ph: (714) 503-6550 | Mina Kim,
451 W Lincoln Ave Ste 100,
Anaheim, CA 92805-2912
Ph: (714) 503-6550 |
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