Soo Y Kim, MD in Highland, CA - Medicare Pediatrics

Soo Y Kim, MD is a medicare enrolled "Pediatrics" physician in Highland, California. Her current practice location is 7000 Boulder Ave, Highland, California. You can reach out to her office (for appointments etc.) via phone at (909) 862-1191.

Soo Y Kim is licensed to practice in California (license number A61217) 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 1295763423.

Contact Information

	Soo Y Kim, MD
	7000 Boulder Ave, Highland, CA 92346-3348
	(909) 862-1191
	Not Available

Map and Direction

Physician's Profile

Full Name	Soo Y Kim
Gender	Female
Speciality	Pediatrics
Location	7000 Boulder Ave, Highland, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295763423
Provider Enumeration Date: 06/28/2006
Last Update Date: 01/26/2022

Medicare PECOS Information:

PECOS PAC ID: 6002707544
Enrollment ID: I20040323001328

Medical Identifiers

Medical identifiers for Soo Y Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295763423	NPI	-	NPPES
00A612170	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	A61217 (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. Soo Y Kim allows following entities to bill medicare on her behalf.

Entity Name	Beaver Medical Group P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649503319 PECOS PAC ID: 0547164295 Enrollment ID: O20031124000449

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508255175 PECOS PAC ID: 1153227814 Enrollment ID: O20160216002196

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. Soo Y 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
Soo Y Kim, MD Po Box 10069, San Bernardino, CA 92423-0069 Ph: (909) 335-4188	Soo Y Kim, MD 7000 Boulder Ave, Highland, CA 92346-3348 Ph: (909) 862-1191

Reviews and Comments

Pediatrics Doctors in Highland, CA

Elizabeth Theriault Lion, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 4240 Highland Ave, Highland, CA 92346 Phone: 909-864-4700 Fax: 909-864-4300
Atalie M Lim, MD, MBBS Pediatrics Medicare: Medicare Enrolled Practice Location: 4240 Highland Ave, Highland, CA 92346 Phone: 909-864-4700 Fax: 909-425-4195
Dr. Gerald R. Greene, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158
Dr. Arthur R. Goyne, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191 Fax: 909-796-4158
Dr. Renata Swanston, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 7000 Boulder Ave, Highland, CA 92346 Phone: 909-862-1191

Soo Y Kim, MD - Medicare Pediatrics in Highland, CA