Dr Christine Miran Kim, MD is a medicare enrolled "Otolaryngology" physician in Emeryville, California. She went to Georgetown University School Of Medicine and graduated in 2015 and has 11 years of diverse experience with area of expertise as Otolaryngology. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is
5800 Hollis St Fl 4, Emeryville, California. You can reach out to her office (for appointments etc.) via phone at
(510) 806-2100.
Dr Christine Miran Kim is licensed to practice in California (license number A145587) 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 1992192033.
Physician's Profile
| Full Name | Dr Christine Miran Kim |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 11 Years |
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| Location | 5800 Hollis St Fl 4, Emeryville, 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. |
Medical Education and Training:
- Dr Christine Miran Kim attended and graduated from Georgetown University School Of Medicine in 2015
NPI Data:
- NPI Number: 1992192033
- Provider Enumeration Date: 04/15/2015
- Last Update Date: 10/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901143544
- Enrollment ID: I20200618000815
Medical Identifiers
Medical identifiers for Dr Christine Miran Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992192033 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Y00000X | Otolaryngology | A145587 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Southern California Permanente Medical Group | 6002729175 | 9038 |
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 Christine Miran Kim allows following entities to bill medicare on her behalf.
| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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| Entity Name | Stanford Health Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
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| Entity Name | Southern California Permanente Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
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| Entity Name | Lpch Medical Group Div Of Lucile |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
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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 Christine Miran 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 Christine Miran Kim, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: () - | Dr Christine Miran Kim, MD 5800 Hollis St Fl 4, Emeryville, CA 94608-2016 Ph: (510) 806-2100 |
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