Byungil Kim, PHD, LPCC in Pomona, CA - Medicare Counselor Provider

Byungil Kim, PHD, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Pomona, California. His current practice location is 16 Wilderness Pl, Pomona, California. You can reach out to his office (for appointments etc.) via phone at (585) 402-1169.

Byungil Kim is licensed to practice in California (license number LPCC15656) 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 1851144588.

Contact Information

	Byungil Kim, PHD, LPCC
	16 Wilderness Pl, Pomona, CA 91766-6709
	(585) 402-1169
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Byungil Kim
Gender	Male
Speciality	Counselor - Mental Health
Location	16 Wilderness Pl, Pomona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851144588
Provider Enumeration Date: 04/11/2024
Last Update Date: 04/11/2024

Medicare PECOS Information:

PECOS PAC ID: 0648705384
Enrollment ID: I20241119000879

Medical Identifiers

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

Identifier	Type	State	Issuer
1851144588	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPCC15656 (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. Byungil Kim allows following entities to bill medicare on his behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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. Byungil 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
Byungil Kim, PHD, LPCC 16 Wilderness Pl, Pomona, CA 91766-6709 Ph: (585) 402-1169	Byungil Kim, PHD, LPCC 16 Wilderness Pl, Pomona, CA 91766-6709 Ph: (585) 402-1169

Reviews and Comments

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Byungil Kim, PHD, LPCC - Medicare Counselor in Pomona, CA