Jeong Mi Kim, RN, CRNA in Loma Linda, CA - Medicare Certified Registered Nurse Anesthetist (crna)

Jeong Mi Kim, RN, CRNA is a medicare enrolled "Registered Nurse" in Loma Linda, California. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 11234 Anderson St, Loma Linda, California. You can reach out to her office (for appointments etc.) via phone at (866) 436-2098.

Jeong Mi Kim is licensed to practice in California (license number 660703) 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 1568756229.

Contact Information

	Jeong Mi Kim, RN, CRNA
	11234 Anderson St, Loma Linda, CA 92354-2804
	(866) 436-2098
	Not Available

Map and Direction

Provider's Profile

Full Name	Jeong Mi Kim
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	11234 Anderson St, Loma Linda, California
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:

Jeong Mi Kim graduated from nursing school in 2011

NPI Data:

NPI Number: 1568756229
Provider Enumeration Date: 05/30/2011
Last Update Date: 12/06/2021

Medicare PECOS Information:

PECOS PAC ID: 8729247069
Enrollment ID: I20120306000981

Medical Identifiers

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

Identifier	Type	State	Issuer
1568756229	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	5349730 (New York)	Secondary
163W00000X	Registered Nurse	RN596280 (Pennsylvania)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	88733 (Pennsylvania)	Secondary
163W00000X	Registered Nurse	660703 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern California Permanente Medical Group	6002729175	9038

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. Jeong Mi Kim allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

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. Jeong Mi 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
Jeong Mi Kim, RN, CRNA 475 Linden Ln, Apt 406, Media, PA 19063-3670 Ph: (818) 523-7390	Jeong Mi Kim, RN, CRNA 11234 Anderson St, Loma Linda, CA 92354-2804 Ph: (866) 436-2098

Reviews and Comments

Registered Nurse Nurses in Loma Linda, CA

Alicia Dellen, CRNA, RN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000
Stephen O Nyirady, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25158 Crestview Dr, Loma Linda, CA 92354 Phone: 909-406-3280
Mrs. Joni Lynn Stanton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Dhara Patel, Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000
Ms. Chanel America Abraham, RN, MSN, PMHNP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11222 Rosarita Dr, Loma Linda, CA 92354 Phone: 714-709-3018
Rachael Onyinyechi Nwadike, NURSE PRACTITIONER Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 626-340-6747
Grecia Luna Bradley, CRNA Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-4000

Jeong Mi Kim, RN, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Loma Linda, CA