Boyoung Kim, PA-C - Medicare Physician Assistant in Jackson, MI

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Boyoung Kim, PA-C is a medicare enrolled "Physician Assistant - Medical" in Jackson, Michigan. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Iha Health Services Corporation and her current practice location is 1055 Laurence Ave, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 273-4343.

Boyoung Kim is licensed to practice in Michigan (license number 5601012203) 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 1316634173.

Contact Information

Boyoung Kim, PA-C
1055 Laurence Ave,
Jackson, MI 49202-2964
(517) 273-4343
Not Available

Map and Direction




Provider's Profile

Full NameBoyoung Kim
GenderFemale
SpecialityPhysician Assistant
Experience3 Years
Location1055 Laurence Ave, Jackson, Michigan
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:
  • Boyoung Kim graduated from nursing school in 2023
  NPI Data:
  • NPI Number: 1316634173
  • Provider Enumeration Date: 04/21/2023
  • Last Update Date: 01/08/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8729422811
  • Enrollment ID: I20240216001122

Medical Identifiers

Medical identifiers for Boyoung Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316634173NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 5601012203 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Trinity Health Ann Arbor HospitalYpsilanti, MIHospital
Chelsea HospitalChelsea, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Iha Health Services Corporation24663514401149

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. Boyoung Kim allows following entities to bill medicare on her behalf.
Entity NameIha Health Services Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457408965
PECOS PAC ID: 2466351440
Enrollment ID: O20040108000355
Entity NamePlymouth Urgent Care Walk-in Clinic LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972094027
PECOS PAC ID: 6709133135
Enrollment ID: O20180717001961
Entity NameDoctors Urgent Care Walk in Clinic Jackson
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265141741
PECOS PAC ID: 5395102545
Enrollment ID: O20230605000894
Entity NamePatheous Medical PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366121527
PECOS PAC ID: 8921458720
Enrollment ID: O20240124001758
Entity NameDoctors Primary Care Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811868433
PECOS PAC ID: 5890272942
Enrollment ID: O20260121000976

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. Boyoung 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
Boyoung Kim, PA-C
2732 Barclay Way,
Ann Arbor, MI 48105-9458

Ph: (734) 709-3908		Boyoung Kim, PA-C
1055 Laurence Ave,
Jackson, MI 49202-2964

Ph: (517) 273-4343

Reviews and Comments


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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.