Dr Eunae Christina Kim, PHD is a medicare enrolled "Psychologist" provider in Bayside, New York. She went to Fordham University School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Senior Care Therapy Llc and her current practice location is
21150 45th Dr, Bayside, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 578-5242.
Dr Eunae Christina Kim is licensed to practice in New Jersey (license number 35S100510500) 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 1457472730.
Healthcare Provider's Profile
| Full Name | Dr Eunae Christina Kim |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 18 Years |
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| Location | 21150 45th Dr, Bayside, New York |
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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:
- Dr Eunae Christina Kim attended and graduated from Fordham University School Of Medicine in 2006
NPI Data:
- NPI Number: 1457472730
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 11/05/2013
Medicare PECOS Information:
- PECOS PAC ID: 3971689191
- Enrollment ID: I20140206000024
Medical Identifiers
Medical identifiers for Dr Eunae Christina Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457472730 | NPI | - | NPPES |
| 017463 | Other | NY | PSYCHOLOGIST |
| 001524 | Other | NY | MENTAL HEALTH |
| 35S100510500 | Other | NJ | PSYCHOLOGY LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 001524 (New York) | Secondary |
| 103T00000X | Psychologist | 017463 (New York) | Secondary |
| 103T00000X | Psychologist | 35S100510500 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Senior Care Therapy Llc | 0547335366 | 127 |
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. Dr Eunae Christina Kim allows following entities to bill medicare on her behalf.
| Entity Name | Senior Care Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285898098
PECOS PAC ID: 0547335366
Enrollment ID: O20080813000563 |
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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. Dr Eunae Christina 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 |
|---|
Dr Eunae Christina Kim, PHD
1018 Palisade Ave, Apt # 3,
Fort Lee, NJ 07024-6300
Ph: (718) 578-5242 | Dr Eunae Christina Kim, PHD
21150 45th Dr,
Bayside, NY 11361-3357
Ph: (718) 578-5242 |
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