Jae Joon Kim, MD is a medicare enrolled "Family Medicine" physician in Shafter, California. He graduated from medical school in 1971 and has 53 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Vanguard Medical Corporation and his current practice location is
565 Kern St, Shafter, California. You can reach out to his office (for appointments etc.) via phone at
(661) 746-4937.
Jae Joon Kim is licensed to practice in California (license number A38875) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1841264918.
Physician's Profile
| Full Name | Jae Joon Kim |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 53 Years |
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| Location | 565 Kern St, Shafter, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jae Joon Kim graduated from medical school in 1971
NPI Data:
- NPI Number: 1841264918
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 03/17/2015
Medicare PECOS Information:
- PECOS PAC ID: 6709900368
- Enrollment ID: I20100902001059
Medical Identifiers
Medical identifiers for Jae Joon Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841264918 | NPI | - | NPPES |
| 553819A | Other | CA | MEDICARE RHC |
| RHM53819F | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | A38875 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Vanguard Medical Corporation | 4587881685 | 16 |
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. Jae Joon Kim allows following entities to bill medicare on his behalf.
| Entity Name | Vanguard Medical Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1609281310
PECOS PAC ID: 4587881685
Enrollment ID: O20140813002697 |
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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. Jae Joon 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 |
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Jae Joon Kim, MD
565 Kern St,
Shafter, CA 93263-2133
Ph: (661) 746-4937 | Jae Joon Kim, MD
565 Kern St,
Shafter, CA 93263-2133
Ph: (661) 746-4937 |
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