Grace Charmie Kim, MD, MPP in Mammoth Lakes, CA

Grace Charmie Kim, MD, MPP is a medicare enrolled "Pediatrics" physician in Mammoth Lakes, California. Her current practice location is 85 Sierra Park Rd # A, Mammoth Lakes, California. You can reach out to her office (for appointments etc.) via phone at (760) 924-4000.

Grace Charmie Kim is licensed to practice in California (license number A178510) 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 1013479997.

Contact Information

	Grace Charmie Kim, MD, MPP
	85 Sierra Park Rd # A, Mammoth Lakes, CA 93546-2073
	(760) 924-4000
	Not Available

Map and Direction

Physician's Profile

Full Name	Grace Charmie Kim
Gender	Female
Speciality	Pediatrics
Location	85 Sierra Park Rd # A, Mammoth Lakes, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013479997
Provider Enumeration Date: 04/01/2019
Last Update Date: 07/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3678947942
Enrollment ID: I20230328002091

Medical Identifiers

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

Identifier	Type	State	Issuer
1013479997	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A178510 (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. Grace Charmie Kim allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Southern Mono Health Care District
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962444059 PECOS PAC ID: 9830002401 Enrollment ID: O20031118001160

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. Grace Charmie 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
Grace Charmie Kim, MD, MPP 5630 Venice Blvd # 1037, Los Angeles, CA 90019-5127 Ph: (253) 653-4173	Grace Charmie Kim, MD, MPP 85 Sierra Park Rd # A, Mammoth Lakes, CA 93546-2073 Ph: (760) 924-4000

Reviews and Comments

Pediatrics Doctors in Mammoth Lakes, CA

Dr. Richard Owen Johnson, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 85 Sierra Park Road, Suite A, Mammoth Lakes, CA 93546 Phone: 760-924-4000 Fax: 760-924-4091
Dr. Kim Escudero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4000 Fax: 760-924-4091
Sarah Ruberman, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-942-4000
Dr. Kristin Elizabeth Collins, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 630-212-6605
Mary Bathen Bissell, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Road, Mammoth Lakes, CA 93546 Phone: 760-924-4012
Louisa Salisbury, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 85 Sierra Park Rd, Mammoth Lakes, CA 93546 Phone: 760-924-4000

Grace Charmie Kim, MD, MPP - Medicare Pediatrics in Mammoth Lakes, CA