Jackson Peter Kim, MD in Stanford, CA - Medicare Internal Medicine

Jackson Peter Kim, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in Stanford, California. His current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to his office (for appointments etc.) via phone at (650) 723-4000.

Jackson Peter Kim is licensed to practice in California (license number A158667) 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 1538600952.

Contact Information

	Jackson Peter Kim, MD
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Jackson Peter Kim
Gender	Male
Speciality	Internal Medicine - Nephrology
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538600952
Provider Enumeration Date: 03/17/2017
Last Update Date: 01/10/2024

Medicare PECOS Information:

PECOS PAC ID: 7416291331
Enrollment ID: I20220817000610

Medical Identifiers

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

Identifier	Type	State	Issuer
1538600952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	A158667 (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. Jackson Peter Kim allows following entities to bill medicare on his behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Jackson Peter 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
Jackson Peter Kim, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Jackson Peter Kim, MD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Internal Medicine Doctors in Stanford, CA

Prista Charuworn, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Alway Build M211, Mc 5187, Stanford, CA 94305 Phone: 650-723-6661
Dr. Yu Kuang Lai, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Andrea Lorenze, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Drive, Lane 154, Stanford, CA 94305 Phone: 650-723-6661 Fax: 650-498-6205
Audra Horomanski, Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000 Fax: 650-498-6205
Dr. Meghan Brady Marmor, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, H3143, Stanford, CA 94305 Phone: 650-723-1150 Fax: 650-725-5489
Lauren Michelle Ulsh, MD Nephrology Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Ann M Chen, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, A149, Mc5202, Stanford, CA 94305 Phone: 650-725-3376 Fax: 650-723-8305

Jackson Peter Kim, MD - Medicare Internal Medicine in Stanford, CA