John Kim, LPC in Deer Park, IL - Medicare Counselor Provider

John Kim, LPC is a medicare enrolled "Counselor - Professional" provider in Deer Park, Illinois. His current practice location is 21925 W Field Pkwy Ste 215, Deer Park, Illinois. You can reach out to his office (for appointments etc.) via phone at (847) 438-4222.

John Kim is licensed to practice in Illinois (license number 178.016159) 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 1750995999.

Contact Information

	John Kim, LPC
	21925 W Field Pkwy Ste 215, Deer Park, IL 60010-7278
	(847) 438-4222
	(847) 438-0844

Map and Direction

Healthcare Provider's Profile

Full Name	John Kim
Gender	Male
Speciality	Counselor - Professional
Location	21925 W Field Pkwy Ste 215, Deer Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750995999
Provider Enumeration Date: 09/04/2020
Last Update Date: 09/04/2020

Medicare PECOS Information:

PECOS PAC ID: 8628516978
Enrollment ID: I20240816003400

Medical Identifiers

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

Identifier	Type	State	Issuer
1750995999	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	178.016159 (Illinois)	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. John Kim allows following entities to bill medicare on his behalf.

Entity Name	Cherry Hill Associates, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225277668 PECOS PAC ID: 1557523552 Enrollment ID: O20120509000449

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. John 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
John Kim, LPC 355 Wood Creek Rd Apt 110, Wheeling, IL 60090-6722 Ph: (224) 766-6308	John Kim, LPC 21925 W Field Pkwy Ste 215, Deer Park, IL 60010-7278 Ph: (847) 438-4222

Reviews and Comments

Counselor in Deer Park, IL

Taylor Sheahen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21925 W. Field Parkway, Suite 215, Deer Park, IL 60010 Phone: 847-910-4280
Arielle Miree, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21925 W Field Pkwy Ste 215, Deer Park, IL 60010 Phone: 847-438-4222
Haley Kaimakis, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21925 W Field Pkwy, Deer Park, IL 60010 Phone: 847-438-4222
Elizabeth Lattof Bruemmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 21925 W Field Pkwy Ste 215, Deer Park, IL 60010 Phone: 847-438-4222 Fax: 847-807-3080
Jenean Poley, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20347 N Meadow Ln, Deer Park, IL 60010 Phone: 810-877-5532

John Kim, LPC - Medicare Counselor in Deer Park, IL