Shannon Leung Kim, in La Jolla, CA

Shannon Leung Kim, is a medicare enrolled "Pediatrics" physician in La Jolla, California. Her current practice location is 8910 Villa La Jolla Drive, Suite 110, La Jolla, California. You can reach out to her office (for appointments etc.) via phone at (858) 203-4962.

Shannon Leung Kim is licensed to practice in California (license number A162026) 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 1588077564.

Contact Information

	Shannon Leung Kim,
	8910 Villa La Jolla Drive, Suite 110, La Jolla, CA 92037
	(858) 203-4962
	Not Available

Map and Direction

Physician's Profile

Full Name	Shannon Leung Kim
Gender	Female
Speciality	Pediatrics
Location	8910 Villa La Jolla Drive, La Jolla, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588077564
Provider Enumeration Date: 06/06/2014
Last Update Date: 09/28/2022

Medicare PECOS Information:

PECOS PAC ID: 4486943610
Enrollment ID: I20180312001524

Medical Identifiers

Medical identifiers for Shannon Leung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588077564	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A162026 (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. Shannon Leung Kim allows following entities to bill medicare on her behalf.

Entity Name	University Medical Associates Of The Medical University Of South Carol
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291

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. Shannon Leung 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
Shannon Leung Kim, 7910 Frost Street, Suite 350, San Diego, CA 92123 Ph: (858) 496-4800	Shannon Leung Kim, 8910 Villa La Jolla Drive, Suite 110, La Jolla, CA 92037 Ph: (858) 203-4962

Reviews and Comments

Pediatrics Doctors in La Jolla, CA

Dr. Angell C Shieh, MD, PHD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 7300 Girard Ave, Suite 106, La Jolla, CA 92037 Phone: 858-459-4351
Dr. Ryan Loreno Lym, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 Girard Ave Ste 106, La Jolla, CA 92037 Phone: 858-459-4351 Fax: 858-459-4399
Dr. Maria R Capetanakis, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 4150 Regents Park Row Ste 355, La Jolla, CA 92037 Phone: 858-457-2043 Fax: 858-457-2092
Dr. Nathaly Maria Coromoto Sweeney, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9300 Campus Point Dr # Mc7774, La Jolla, CA 92037 Phone: 619-543-3759 Fax: 619-543-3812
Dr. Gretchen Christine Gainor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7300 Girard Ave, La Jolla, CA 92037 Phone: 858-459-4351 Fax: 858-459-4399
Dr. Kuang-chung Hu Chien, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9445 La Jolla Farms Rd, La Jolla, CA 92037 Phone: 858-622-0888
Dr. Sandra P Daley, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9500 Gilman Dr, Mail Code 0927, La Jolla, CA 92093 Phone: 619-681-0764 Fax: 619-681-0666

Shannon Leung Kim, - Medicare Pediatrics in La Jolla, CA