Jin Sook Kim, - Medicare Nurse Practitioner in New York, NY

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Jin Sook Kim, is a medicare enrolled "Nurse Practitioner - Adult Health" in New York, New York. She went to City University Of New York School Of Medicine and graduated in 2012 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore-lij Medical Pc, Collaborative Geriatrics Inc and her current practice location is 1 Penn Plz Frnt 7, Suite 725, New York, New York. You can reach out to her office (for appointments etc.) via phone at (917) 993-2279.

Jin Sook Kim is licensed to practice in New York (license number F306114) 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 1720332000.

Contact Information

Jin Sook Kim,
1 Penn Plz Frnt 7, Suite 725,
New York, NY 10119-0206
(917) 993-2279
Not Available

Map and Direction




Provider's Profile

Full NameJin Sook Kim
GenderFemale
SpecialityNurse Practitioner
Experience13 Years
Location1 Penn Plz Frnt 7, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jin Sook Kim attended and graduated from City University Of New York School Of Medicine in 2012
  NPI Data:
  • NPI Number: 1720332000
  • Provider Enumeration Date: 11/07/2012
  • Last Update Date: 07/28/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1557592912
  • Enrollment ID: I20190802001925

Medical Identifiers

Medical identifiers for Jin Sook Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720332000NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health F306114 (New York)Primary
364SG0600XClinical Nurse Specialist - Gerontology F340851 (New York)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Shore-lij Medical Pc33757015685625
Collaborative Geriatrics Inc519382704645

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. Jin Sook Kim allows following entities to bill medicare on her behalf.
Entity NameNorth Shore-lij Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262

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. Jin Sook 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
Jin Sook Kim,
1 Penn Plz Frnt 7, 725,
New York, NY 10119-0206

Ph: (917) 993-2279		Jin Sook Kim,
1 Penn Plz Frnt 7, Suite 725,
New York, NY 10119-0206

Ph: (917) 993-2279

Reviews and Comments


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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.