Eudeum Lee Kim, APRN in Eglin Afb, FL - Medicare Nurse Practitioner

Eudeum Lee Kim, APRN is a medicare enrolled "Nurse Practitioner - Family" in Eglin Afb, Florida. She went to Florida State University College Of Medicine and graduated in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice White-wilson Medical Center Pa and her current practice location is 307 Boatner Rd Ste 114, Eglin Afb, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 883-8132.

Eudeum Lee Kim is licensed to practice in Florida (license number 11013878) 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 1043980006.

Contact Information

	Eudeum Lee Kim, APRN
	307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302
	(850) 883-8132
	Not Available

Map and Direction

Provider's Profile

Full Name	Eudeum Lee Kim
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	307 Boatner Rd Ste 114, Eglin Afb, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Eudeum Lee Kim attended and graduated from Florida State University College Of Medicine in 2021

NPI Data:

NPI Number: 1043980006
Provider Enumeration Date: 09/20/2021
Last Update Date: 11/02/2023

Medicare PECOS Information:

PECOS PAC ID: 9133526452
Enrollment ID: I20210928003827

Medical Identifiers

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

Identifier	Type	State	Issuer
1043980006	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11013878 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
White-wilson Medical Center Pa	4082510607	79

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. Eudeum Lee Kim allows following entities to bill medicare on her behalf.

Entity Name	White-wilson Medical Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467437277 PECOS PAC ID: 4082510607 Enrollment ID: O20031212000140

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. Eudeum Lee 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
Eudeum Lee Kim, APRN 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8132	Eudeum Lee Kim, APRN 307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302 Ph: (850) 883-8132

Reviews and Comments

Nurse Practitioner Nurses in Eglin Afb, FL

Mr. Billy Wayne Marcantel, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Veterans Way, Eglin Afb, FL 32542 Phone: 850-609-2600
Brandy Lynn Arrol, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600
Carole Farley, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Veterans Way, Eglin Afb, FL 32542 Phone: 850-609-2753
Janet Aileen Reeves, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-838-8600
Mrs. Gina Elaine Rose-schmidt, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 307 Boatner Rd, Eglin Afb, FL 32542 Phone: 850-883-9338 Fax: 850-883-9702
Ms. Stephanie J Durden, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 307 Boatner Rd Ste 114, Eglin Afb, FL 32542 Phone: 850-883-8600 Fax: 850-883-8597

Eudeum Lee Kim, APRN - Medicare Nurse Practitioner in Eglin Afb, FL