Yoonhee Nikki Kang, is a medicare enrolled "Marriage & Family Therapist" provider in Pryor, Oklahoma. Her current practice location is
109 N Fairland St, Pryor, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 825-1405.
Yoonhee Nikki Kang is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1528540721.
Healthcare Provider's Profile
| Full Name | Yoonhee Nikki Kang |
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| Gender | Female |
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| Speciality | Marriage & Family Therapist |
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| Location | 109 N Fairland St, Pryor, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528540721
- Provider Enumeration Date: 09/04/2018
- Last Update Date: 03/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 1951844430
- Enrollment ID: I20240625002742
Medical Identifiers
Medical identifiers for Yoonhee Nikki Kang such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528540721 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | 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. Yoonhee Nikki Kang allows following entities to bill medicare on her behalf.
| Entity Name | Grand Lake Mental Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
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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. Yoonhee Nikki Kang 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 |
Yoonhee Nikki Kang, 109 N Fairland St, Pryor, OK 74361-4203 Ph: (918) 825-1405 | Yoonhee Nikki Kang, 109 N Fairland St, Pryor, OK 74361 Ph: (918) 825-1405 |
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