Edward Kim, in Long Beach, CA - Medicare Nurse Practitioner

Edward Kim, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Long Beach, California. His current practice location is 5199 E Pacific Coast Hwy Ste 330n, Long Beach, California. You can reach out to his office (for appointments etc.) via phone at (562) 365-2020.

Edward Kim is licensed to practice in California (license number 95017647) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053088799.

Contact Information

	Edward Kim,
	5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353
	(562) 365-2020
	Not Available

Map and Direction

Provider's Profile

Full Name	Edward Kim
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	5199 E Pacific Coast Hwy Ste 330n, Long Beach, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053088799
Provider Enumeration Date: 08/29/2021
Last Update Date: 08/29/2021

Medicare PECOS Information:

PECOS PAC ID: 0941694178
Enrollment ID: I20220303001268

Medical Identifiers

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

Identifier	Type	State	Issuer
1053088799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	849520 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95017647 (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. Edward Kim allows following entities to bill medicare on his behalf.

Entity Name	Jason Kellogg Md Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235391624 PECOS PAC ID: 9032266127 Enrollment ID: O20090407000131

Entity Name	Advances In Mental Health& Addictions Treatment, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942529037 PECOS PAC ID: 3173844222 Enrollment ID: O20150602001263

Entity Name	Progeny Psychiatric Clinic A Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548735202 PECOS PAC ID: 4688904592 Enrollment ID: O20190919000593

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. Edward 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
Edward Kim, 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 Ph: () -	Edward Kim, 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804-3353 Ph: (562) 365-2020

Reviews and Comments

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Edward Kim, - Medicare Nurse Practitioner in Long Beach, CA