Blossom Kim, - Medicare Physician Assistant in Elk Grove, CA

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Blossom Kim, is a medicare enrolled "Physician Assistant" in Elk Grove, California. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Sutter Valley Medical Foundation and her current practice location is 9108 Trumbauer Way, Elk Grove, California. You can reach out to her office (for appointments etc.) via phone at (916) 207-4257.

Blossom Kim is licensed to practice in California (license number 59082) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871137976.

Contact Information

Blossom Kim,
9108 Trumbauer Way,
Elk Grove, CA 95758-7434
(916) 207-4257
Not Available

Map and Direction




Provider's Profile

Full NameBlossom Kim
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location9108 Trumbauer Way, Elk Grove, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blossom Kim graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1871137976
  • Provider Enumeration Date: 10/31/2019
  • Last Update Date: 03/01/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1355742362
  • Enrollment ID: I20210629000754

Medical Identifiers

Medical identifiers for Blossom Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871137976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 59082 (California)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Medical Center, SacramentoSacramento, CAHospital
Sutter Roseville Medical CenterRoseville, CAHospital
Sutter Amador HospitalJackson, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sutter Valley Medical Foundation98300945152473

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. Blossom Kim allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameTeam Physicians of California Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447288345
PECOS PAC ID: 8224945084
Enrollment ID: O20040920000880
Entity NameSutter Valley Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669846986
PECOS PAC ID: 9830094515
Enrollment ID: O20090311000335

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. Blossom 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 AddressPractice Location Address
Blossom Kim,
9108 Trumbauer Way,
Elk Grove, CA 95758-7434

Ph: (916) 207-4257		Blossom Kim,
9108 Trumbauer Way,
Elk Grove, CA 95758-7434

Ph: (916) 207-4257

Reviews and Comments


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Erin Sheaffer, PA
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Phone: 916-691-5900    Fax: 916-691-6747

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.