Dr Soo Yeon Kelly Kang, MD, - Medicare Psychiatry in Santa Monica, CA

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Dr Soo Yeon Kelly Kang, MD, is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Santa Monica, California. She graduated from medical school in 2008 and has 17 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Regents Of The University Of California Los Angeles, Contra Costa County and her current practice location is 2001 Santa Monica Blvd Ste 860w, Santa Monica, California. You can reach out to her office (for appointments etc.) via phone at (310) 301-7396.

Dr Soo Yeon Kelly Kang is licensed to practice in California (license number A109239) 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 1508038415.

Contact Information

Dr Soo Yeon Kelly Kang, MD,
2001 Santa Monica Blvd Ste 860w,
Santa Monica, CA 90404-2189
(310) 301-7396
Not Available

Map and Direction




Physician's Profile

Full NameDr Soo Yeon Kelly Kang
GenderFemale
SpecialityPsychiatry
Experience17 Years
Location2001 Santa Monica Blvd Ste 860w, Santa Monica, California
Accepts Medicare AssignmentsYes. 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 Soo Yeon Kelly Kang graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1508038415
  • Provider Enumeration Date: 03/31/2008
  • Last Update Date: 01/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4587832019
  • Enrollment ID: I20110727000429

Medical Identifiers

Medical identifiers for Dr Soo Yeon Kelly Kang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508038415NPI-NPPES
1508038415MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry A109239 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Contra Costa Regional Medical CenterMartinez, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regents Of The University Of California Los Angeles458785772770
Contra Costa County862805297466

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 Soo Yeon Kelly Kang allows following entities to bill medicare on her behalf.
Entity NameSpecial Service For Groups
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952442949
PECOS PAC ID: 2769396886
Enrollment ID: O20031113000561
Entity NameUc Regents
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750368999
PECOS PAC ID: 0749180453
Enrollment ID: O20040109000819
Entity NameContra Costa County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376620336
PECOS PAC ID: 8628052974
Enrollment ID: O20050707001058
Entity NameRegents Of The University Of California Los Angeles
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609194497
PECOS PAC ID: 4587857727
Enrollment ID: O20101020001402

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 Soo Yeon Kelly 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 AddressPractice Location Address
Dr Soo Yeon Kelly Kang, MD,
5767 W Century Blvd Ste 400,
Los Angeles, CA 90045-5631

Ph: () -		Dr Soo Yeon Kelly Kang, MD,
2001 Santa Monica Blvd Ste 860w,
Santa Monica, CA 90404-2189

Ph: (310) 301-7396

Reviews and Comments


Psychiatry & Neurology Doctors in Santa Monica, CA

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Dr. Stacy A Cohen, M.D.
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Milena M Kaufman, D.O.
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Salm Robert Moradi, M.D.
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Phone: 310-829-1404    Fax: 310-829-1406

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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