Kelvin Min Soo Sin, in Loma Linda, CA - Medicare Nurse Practitioner

Kelvin Min Soo Sin, is a medicare enrolled "Nurse Practitioner" in Loma Linda, California. His current practice location is 11262 Campus St, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at (909) 558-1000.

Kelvin Min Soo Sin is licensed to practice in California (license number 95024334) 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 1629650932.

Contact Information

	Kelvin Min Soo Sin,
	11262 Campus St, Loma Linda, CA 92350-1727
	(909) 558-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kelvin Min Soo Sin
Gender	Male
Speciality	Nurse Practitioner
Location	11262 Campus St, Loma Linda, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629650932
Provider Enumeration Date: 04/26/2021
Last Update Date: 10/25/2024

Medicare PECOS Information:

PECOS PAC ID: 9335504687
Enrollment ID: I20230420002407

Medical Identifiers

Medical identifiers for Kelvin Min Soo Sin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629650932	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	95024334 (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. Kelvin Min Soo Sin allows following entities to bill medicare on his behalf.

Entity Name	Faculty Physicians And Surgeons Of Llusm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205009917 PECOS PAC ID: 1153227814 Enrollment ID: O20031211000981

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Kelvin Min Soo Sin 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
Kelvin Min Soo Sin, 11262 Campus St, Loma Linda, CA 92350-1727 Ph: (909) 558-1000	Kelvin Min Soo Sin, 11262 Campus St, Loma Linda, CA 92350-1727 Ph: (909) 558-1000

Reviews and Comments

Nurse Practitioner Nurses in Loma Linda, CA

Holly Cornejo, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Mrs. Kenya Neoko Singleton, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton Street, Loma Linda, CA 92357 Phone: 909-825-7084 Fax: 909-777-3874
Miss Christine Eunice Kurunathan, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11034 Veach St, Loma Linda, CA 92354 Phone: 909-825-7084 Fax: 909-777-3291
Krista Smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11201 Benton St, Loma Linda, CA 92357 Phone: 909-825-7084
Kristina Pulliam Markey, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson Strreet, Loma Linda, CA 92354 Phone: 909-558-5967
Lauren Trajano, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8000
Frances Rowena Mccann, ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11234 Anderson St, Loma Linda, CA 92354 Phone: 909-558-8514

Kelvin Min Soo Sin, - Medicare Nurse Practitioner in Loma Linda, CA