Jung Mi Kim, - Medicare Nurse Practitioner in Chantilly, VA

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Jung Mi Kim, is a medicare enrolled "Nurse Practitioner - Family" in Chantilly, Virginia. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Medical Access Pc, Manbir Takhar, P.c., Medical Access Pc and her current practice location is 24795 Pinebrook Rd, Chantilly, Virginia. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Jung Mi Kim is licensed to practice in Virginia (license number 0024176496) 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 1114497351.

Contact Information

Jung Mi Kim,
24795 Pinebrook Rd,
Chantilly, VA 20152-4239
(866) 389-2727
Not Available

Map and Direction




Provider's Profile

Full NameJung Mi Kim
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location24795 Pinebrook Rd, Chantilly, Virginia
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:
  • Jung Mi Kim graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1114497351
  • Provider Enumeration Date: 11/30/2018
  • Last Update Date: 12/05/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0648516252
  • Enrollment ID: I20190117002765

Medical Identifiers

Medical identifiers for Jung Mi Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114497351NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 0024176496 (Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Medical Access Pc933540584411
Manbir Takhar, P.c.074920695113
Medical Access Pc933540584411

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. Jung Mi Kim allows following entities to bill medicare on her behalf.
Entity NamePrivia Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013042480
PECOS PAC ID: 4385682061
Enrollment ID: O20050422000298
Entity NameManbir Takhar, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457322505
PECOS PAC ID: 0749206951
Enrollment ID: O20051018000122
Entity NameMedical Access Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144291204
PECOS PAC ID: 9335405844
Enrollment ID: O20171122001178

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. Jung 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
Jung Mi Kim,
11645 Leehigh Dr,
Fairfax, VA 22030-5641

Ph: () -		Jung Mi Kim,
24795 Pinebrook Rd,
Chantilly, VA 20152-4239

Ph: (866) 389-2727

Reviews and Comments


Nurse Practitioner Nurses in Chantilly, VA

Diana Spring, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14121 Parke Long Ct Ste 201, Chantilly, VA 20151
Phone: 571-364-7110    Fax: 800-752-2471
Hamdi Hagiyusuf, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 14391 Chantilly Crossing Ln, Chantilly, VA 20151
Phone: 571-262-0021    
Bindhu Aickareth, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14121 Parke Long Ct, Chantilly, VA 20151
Phone: 281-827-7304    
Victoria Ranti Balogun, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14121 Parke Long Court, Suite 201, Chantilly, VA 20151
Phone: 864-551-5536    
Kadijatu Sesay,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 42979 Golf View Dr, Chantilly, VA 20152
Phone: 614-596-3596    
Michelle Marie Dresback, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14121 Parke Long Ct Ste 201, Chantilly, VA 20151
Phone: 855-247-1940    
Ugo Amalaha,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 14121 Parke Long Ct, Chantilly, VA 20151
Phone: 770-313-8840    

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.