| Jennifer Kim, PA | |
|
8450 Gold Sunset Way, Columbia, MD 21045-7407 | |
| (410) 963-3345 | |
| Not Available |
| Full Name | Jennifer Kim |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 28 Years |
| Location | 8450 Gold Sunset Way, Columbia, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225029598 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | C0002128 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Md St Joseph Medical Center | Towson, MD | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| University Of Maryland St Joseph Medical Group Llc | 4880846179 | 288 |
| Entity Name | University of Maryland St Joseph Medical Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770836785 PECOS PAC ID: 4880846179 Enrollment ID: O20121213000234 |
| Entity Name | Medstar Medical Group II LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184046187 PECOS PAC ID: 0547413825 Enrollment ID: O20130117000347 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Kim, PA 8450 Gold Sunset Way, Columbia, MD 21045-7407 Ph: (410) 963-3345 | Jennifer Kim, PA 8450 Gold Sunset Way, Columbia, MD 21045-7407 Ph: (410) 963-3345 |
Justin Richard Waite, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5900 Cedar Ln, Columbia, MD 21044 Phone: 443-718-4067 |
Mrs. Toni Marie Keller, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-720-8000 Fax: 410-740-7511 |
Smital Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr Ste 130, Columbia, MD 21044 Phone: 410-772-7000 |
Melissa Tsang, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 9520 Berger Rd Ste 203, Columbia, MD 21046 Phone: 410-823-6408 |
Bradley Klement, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10710 Charter Dr, Columbia, MD 21044 Phone: 410-955-5000 |
Zayda Villatoro, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 7226 Lee Deforest Dr Ste 206, Columbia, MD 21046 Phone: 410-656-2646 |
Mr. Dipal Patel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5755 Cedar Ln, Columbia, MD 21044 Phone: 410-740-7890 |