Youn Jea Kim, NP is a medicare enrolled "Nurse Practitioner - Family" physician in Buffalo, New York. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
550 Orchard Park Rd Ste A110, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at
(716) 650-5720.
Youn Jea Kim is licensed to practice in New York (license number 340203) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1376908442.
Physician's Profile
| Full Name | Youn Jea Kim |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 550 Orchard Park Rd Ste A110, Buffalo, New York |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Youn Jea Kim graduated from medical school in 2015
NPI Data:
- NPI Number: 1376908442
- Provider Enumeration Date: 12/16/2015
- Last Update Date: 08/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 0143522979
- Enrollment ID: I20160928002733
Medical Identifiers
Medical identifiers for Youn Jea Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376908442 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 340203 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 340203 (New York) | Primary |
Medical Facilities Affiliation
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. Youn Jea Kim allows following entities to bill medicare on her behalf.
| Entity Name | Wny Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154421246
PECOS PAC ID: 9335191733
Enrollment ID: O20050214000821 |
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| Entity Name | Near Me Dermatology Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083387898
PECOS PAC ID: 5799177747
Enrollment ID: O20220125000410 |
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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. Youn Jea 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 |
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Youn Jea Kim, NP
1170 Maple Rd,
Williamsville, NY 14221-3440
Ph: (213) 880-2538 | Youn Jea Kim, NP
550 Orchard Park Rd Ste A110,
Buffalo, NY 14224-2646
Ph: (716) 650-5720 |
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