Jeong Mi Kim, RN, CRNA - Medicare Registered Nurse in Loma Linda, CA

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Jeong Mi Kim, RN, CRNA is a medicare enrolled "Registered Nurse" in Loma Linda, California. 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 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 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 NameJeong Mi Kim
GenderFemale
SpecialityRegistered Nurse
Location11234 Anderson St, Loma Linda, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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.
IdentifierTypeStateIssuer
1568756229NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 5349730 (New York)Secondary
163W00000XRegistered Nurse RN596280 (Pennsylvania)Secondary
367500000XNurse Anesthetist, Certified Registered 88733 (Pennsylvania)Secondary
163W00000XRegistered Nurse 660703 (California)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. Jeong Mi Kim allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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    
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: Medicare Enrolled
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    
Moralie Ferrol, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 11201 Benton St, Loma Linda, CA 92357
Phone: 909-825-7084    

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.