Hyohaeng Kim, NURSE PRACTITIONER in Southlake, TX

Hyohaeng Kim, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Southlake, Texas. Her current practice location is 1545 E Southlake Blvd, Southlake, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 748-8700.

Hyohaeng Kim is licensed to practice in Texas (license number 1131837) 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 1871372417.

Contact Information

	Hyohaeng Kim, NURSE PRACTITIONER
	1545 E Southlake Blvd, Southlake, TX 76092-6422
	(817) 748-8700
	Not Available

Map and Direction

Provider's Profile

Full Name	Hyohaeng Kim
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1545 E Southlake Blvd, Southlake, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871372417
Provider Enumeration Date: 09/25/2023
Last Update Date: 09/25/2023

Medicare PECOS Information:

PECOS PAC ID: 4284083122
Enrollment ID: I20231218001382

Medical Identifiers

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

Identifier	Type	State	Issuer
1871372417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1131837 (Texas)	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. Hyohaeng Kim allows following entities to bill medicare on her behalf.

Entity Name	Global Wound Care Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235831132 PECOS PAC ID: 9335504539 Enrollment ID: O20230513000021

Entity Name	American Wound Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497456818 PECOS PAC ID: 6305290172 Enrollment ID: O20240326001683

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. Hyohaeng 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
Hyohaeng Kim, NURSE PRACTITIONER 4604 Timken Trl, Fort Worth, TX 76137-6173 Ph: (949) 331-8020	Hyohaeng Kim, NURSE PRACTITIONER 1545 E Southlake Blvd, Southlake, TX 76092-6422 Ph: (817) 748-8700

Reviews and Comments

Nurse Practitioner Nurses in Southlake, TX

Carmen Santiago, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1110 N Carroll Ave, Southlake, TX 76092 Phone: 817-310-1100 Fax: 817-310-1197
Nikita Greenwood, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1920 E State Highway 114, Southlake, TX 76092 Phone: 817-442-5698
Janice F Rubbelke, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 E Southlake Blvd, Suite 200, Southlake, TX 76092 Phone: 817-488-1956 Fax: 817-488-8675
Mona Lisa Jimenez, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775
Andrew Sadousky, MS, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 250 Miron Dr, Southlake, TX 76092 Phone: 817-328-3000
Pete C Bravo Jr., FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2777 E Southlake Blvd Ste 140, Southlake, TX 76092 Phone: 817-686-8104
Heather Mendoza, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 E State Highway 114 Fl 1, Southlake, TX 76092 Phone: 844-824-8775

Hyohaeng Kim, NURSE PRACTITIONER - Medicare Nurse Practitioner in Southlake, TX