Miri Kim, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in New Haven, Connecticut. Her current practice location is
20 York St, New Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(203) 688-4242.
Miri Kim is licensed to practice in * (Not Available) (license number ) 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 1376997197.
Physician's Profile
Full Name | Miri Kim |
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Gender | Female |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 20 York St, New Haven, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1376997197
- Provider Enumeration Date: 04/18/2016
- Last Update Date: 05/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183918329
- Enrollment ID: I20160810001286
Medical Identifiers
Medical identifiers for Miri Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376997197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207T00000X | Neurological Surgery | 125069508 (Illinois) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Miri 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 |
Miri Kim, 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 | Miri Kim, 20 York St, New Haven, CT 06510-3220 Ph: (203) 688-4242 |
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