Ginna J Kim, CRNA - Medicare Nurse Anesthetist, Certified Registered in Libertyville, IL

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Ginna J Kim, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Libertyville, Illinois. Her current practice location is 801 S Milwaukee Ave, Libertyville, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 362-2905.

Ginna J Kim is licensed to practice in Illinois (license number 209007882) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053649590.

Contact Information

Ginna J Kim, CRNA
801 S Milwaukee Ave,
Libertyville, IL 60048-3204
(847) 362-2905
Not Available

Map and Direction




Provider's Profile

Full NameGinna J Kim
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location801 S Milwaukee Ave, Libertyville, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053649590
  • Provider Enumeration Date: 11/20/2009
  • Last Update Date: 01/03/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5092856245
  • Enrollment ID: I20100109000189

Medical Identifiers

Medical identifiers for Ginna J Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053649590NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041329165 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 209007882 (Illinois)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. Ginna J Kim allows following entities to bill medicare on her behalf.
Entity NameMidwest Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255380184
PECOS PAC ID: 6204737596
Enrollment ID: O20040120000034
Entity NameIllinois Gastroenterology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316277817
PECOS PAC ID: 5193857423
Enrollment ID: O20100721000790

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. Ginna J 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
Ginna J Kim, CRNA
105 Willow Pkwy,
Buffalo Grove, IL 60089-6608

Ph: (847) 567-3123		Ginna J Kim, CRNA
801 S Milwaukee Ave,
Libertyville, IL 60048-3204

Ph: (847) 362-2905

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Libertyville, IL

Allison L Peterson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-362-2900    
Kimberly White,
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2108 Kenton Ln, Libertyville, IL 60048
Phone: 234-234-8677    
Darrel A Storbeck, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-362-2900    
Mary Grace Kashmar, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-362-2900    
Wilfred E Soppe, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-362-2900    
Brian E Dagel, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-362-2900    
Abby Nowakowski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 801 S Milwaukee Ave, Libertyville, IL 60048
Phone: 847-742-9800    

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.