Sujeong Kim, in Pflugerville, TX - Medicare Pediatrics

Sujeong Kim, is a medicare enrolled "Pediatrics" physician in Pflugerville, Texas. Her current practice location is 15803 Windermere Dr Ste 103, Pflugerville, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 989-2680.

Sujeong Kim is licensed to practice in Texas (license number V6974) 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 1265920839.

Contact Information

	Sujeong Kim,
	15803 Windermere Dr Ste 103, Pflugerville, TX 78660-2482
	(512) 989-2680
	Not Available

Map and Direction

Physician's Profile

Full Name	Sujeong Kim
Gender	Female
Speciality	Pediatrics
Location	15803 Windermere Dr Ste 103, Pflugerville, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265920839
Provider Enumeration Date: 04/28/2018
Last Update Date: 08/26/2025

Medicare PECOS Information:

PECOS PAC ID: 3678810819
Enrollment ID: I20210503000611

Medical Identifiers

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

Identifier	Type	State	Issuer
1265920839	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	309869 (New York)	Secondary
208000000X	Pediatrics	V6974 (Texas)	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. Sujeong Kim allows following entities to bill medicare on her behalf.

Entity Name	New York University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026

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. Sujeong 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
Sujeong Kim, 6210 E Hwy 290, Austin, TX 78723-1142 Ph: (512) 483-9596	Sujeong Kim, 15803 Windermere Dr Ste 103, Pflugerville, TX 78660-2482 Ph: (512) 989-2680

Reviews and Comments

Pediatrics Doctors in Pflugerville, TX

Mrs. Karina Kalmbach, APRN Pediatrics Medicare: Medicare Enrolled Practice Location: 1501 W Pecan St Ste 102, Pflugerville, TX 78660 Phone: 877-800-5722
Dr. Ryan Paul Peterson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660 Phone: 737-220-7200 Fax: 512-406-7339
Anna E Holliman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2100 Autumn Slate Dr Ste 150, Pflugerville, TX 78660 Phone: 737-220-7200 Fax: 512-406-7340
Dr. Lindsay K Brettmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 15822 Foothill Farms Loop, Pflugerville, TX 78660 Phone: 512-978-9840 Fax: 512-901-9768
Hailey Wang Driscoll, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 Fm 685 Ste 600-610, Pflugerville, TX 78660 Phone: 512-808-0190
Mrs. Ramla Ali, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 15803 Windermere Dr Ste 103, Pflugerville, TX 78660 Phone: 512-989-2680 Fax: 512-406-7339

Sujeong Kim, - Medicare Pediatrics in Pflugerville, TX