Mr Jong Woo Kim, APRN in Gainesville, FL - Medicare Nurse Practitioner

Mr Jong Woo Kim, APRN is a medicare enrolled "Nurse Practitioner - Acute Care" in Gainesville, Florida. His current practice location is 1600 Sw Archer Rd, Gainesville, Florida. You can reach out to his office (for appointments etc.) via phone at (352) 273-5670.

Mr Jong Woo Kim is licensed to practice in Florida (license number APRN11023432) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255037644.

Contact Information

	Mr Jong Woo Kim, APRN
	1600 Sw Archer Rd, Gainesville, FL 32610-4104
	(352) 273-5670
	(352) 273-5683

Map and Direction

Provider's Profile

Full Name	Mr Jong Woo Kim
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255037644
Provider Enumeration Date: 02/07/2023
Last Update Date: 02/24/2023

Medicare PECOS Information:

PECOS PAC ID: 5193198273
Enrollment ID: I20230310002591

Medical Identifiers

Medical identifiers for Mr Jong Woo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255037644	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	APRN11023432 (Florida)	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. Mr Jong Woo Kim allows following entities to bill medicare on his behalf.

Entity Name	Florida Clinical Practice Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

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. Mr Jong Woo 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
Mr Jong Woo Kim, APRN Po Box 100108, Gainesville, FL 32610-0108 Ph: (352) 273-5670	Mr Jong Woo Kim, APRN 1600 Sw Archer Rd, Gainesville, FL 32610-4104 Ph: (352) 273-5670

Reviews and Comments

Nurse Practitioner Nurses in Gainesville, FL

Susan Lynette Fort, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2528 Nw 32nd St, Gainesville, FL 32605 Phone: 352-224-8161 Fax: 321-320-8780
Xenia T Blount, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Po Box 100224, Gainesville, FL 32610 Phone: 352-273-7832 Fax: 352-273-7849
Mrs. Brandace Michele Kenworthy, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111
Miss Sadaf Nazar Malik, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 904-265-0111
Mrs. Sara Renee West, FNP-C, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9000 Fax: 352-392-8413
Sandrie Rose Dieujuste, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0045
Holly Willis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1601 Sw Archer Rd., Gainesville, FL 32608 Phone: 352-548-6000

Mr Jong Woo Kim, APRN - Medicare Nurse Practitioner in Gainesville, FL