Jae Rock Shim, CRNA in Los Angeles, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Jae Rock Shim, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Los Angeles, California. He graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Turiya Anesthesia, Hp Anesthesia Inc and his current practice location is 1300 N Vermont Ave, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (213) 413-3000.

Jae Rock Shim is licensed to practice in California (license number 95001105) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477017275.

Contact Information

	Jae Rock Shim, CRNA
	1300 N Vermont Ave, Los Angeles, CA 90027-6098
	(213) 413-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Jae Rock Shim
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	7 Years
Location	1300 N Vermont Ave, Los Angeles, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jae Rock Shim graduated from nursing school in 2018

NPI Data:

NPI Number: 1477017275
Provider Enumeration Date: 01/25/2019
Last Update Date: 08/02/2022

Medicare PECOS Information:

PECOS PAC ID: 7214265115
Enrollment ID: I20210709001714

Medical Identifiers

Medical identifiers for Jae Rock Shim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477017275	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN686691 (Pennsylvania)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	209.018963 (Illinois)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	95001105 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Coast Plaza Hospital	Norwalk, CA	Hospital
Hollywood Presbyterian Medical Center	Los angeles, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Turiya Anesthesia	0345785523	19
Hp Anesthesia Inc	6608009766	30

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. Jae Rock Shim allows following entities to bill medicare on his behalf.

Entity Name	Olympic Anesthesia Partnership
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881707586 PECOS PAC ID: 9436178209 Enrollment ID: O20051122000431

Entity Name	Hp Anesthesia Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992133474 PECOS PAC ID: 6608009766 Enrollment ID: O20140425001684

Entity Name	Precision Anesthesia Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205253929 PECOS PAC ID: 6204145105 Enrollment ID: O20151015001459

Entity Name	Turiya Anesthesia
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497595565 PECOS PAC ID: 0345785523 Enrollment ID: O20240711003262

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. Jae Rock Shim 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
Jae Rock Shim, CRNA Po Box 25033, Santa Ana, CA 92799-5033 Ph: (714) 347-1000	Jae Rock Shim, CRNA 1300 N Vermont Ave, Los Angeles, CA 90027-6098 Ph: (213) 413-3000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Los Angeles, CA

Mrs. Cathy Kiem Ngo, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Cynthia L Plehn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4733 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-783-4011
Mrs. Sara Rondinone Shive, RN, BSN, CRNA, MS Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400 Fax: 323-442-7411
Brandon Lee, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1401 S Grand Ave, Los Angeles, CA 90015 Phone: 213-748-2411
Brooke A Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6041 Cadillac Ave, Los Angeles, CA 90034 Phone: 323-857-2000
Mrs. Dina Marie Hunt, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1500 San Pablo St, Los Angeles, CA 90033 Phone: 323-442-7400
Tahira Ayanna Smith-aifesehi, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2622

Jae Rock Shim, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Los Angeles, CA