Jessica Kim, DO is a
Anesthesiology physician based in Fort Bliss, Texas. Jessica Kim is licensed to practice in Virginia (license number 0102207544) and her current practice location is 18511 Highlander Medics St, Fort Bliss, Texas. She can be reached at her office (for appointments etc.) via phone at
(661) 877-8602.
NPI number for Jessica Kim is 1962095570 and her current mailing address is 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1962095570.
Physician's Profile
| Full Name | Jessica Kim |
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| Gender | Female |
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| Speciality | Anesthesiology |
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| Location | 18511 Highlander Medics St, Fort Bliss, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962095570
- Provider Enumeration Date: 02/15/2021
- Last Update Date: 06/29/2025
Medical Identifiers
Medical identifiers for Jessica Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962095570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 0102207544 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 207L00000X | Anesthesiology | 0102207544 (Virginia) | Primary |
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. Jessica Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jessica Kim, DO
3551 Roger Brooke Dr,
Jbsa Ft Sam Houston, TX 78234-4504
Ph: (210) 916-8666 | Jessica Kim, DO
18511 Highlander Medics St,
Fort Bliss, TX 79906-5327
Ph: (661) 877-8602 |
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