Kibbum Kang, NURSE PRACTITIONER in Manassas, VA

Kibbum Kang, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner" in Manassas, Virginia. Her current practice location is 8640 Sudley Rd Ste 201, Manassas, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 368-6819.

Kibbum Kang is licensed to practice in Virginia (license number 0024174551) 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 1548502347.

Contact Information

	Kibbum Kang, NURSE PRACTITIONER
	8640 Sudley Rd Ste 201, Manassas, VA 20110-4404
	(703) 368-6819
	(703) 330-2923

Map and Direction

Provider's Profile

Full Name	Kibbum Kang
Gender	Female
Speciality	Nurse Practitioner
Location	8640 Sudley Rd Ste 201, Manassas, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548502347
Provider Enumeration Date: 03/20/2013
Last Update Date: 02/28/2025

Medicare PECOS Information:

PECOS PAC ID: 7113147604
Enrollment ID: I20181114001685

Medical Identifiers

Medical identifiers for Kibbum Kang such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548502347	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0024174551 (Virginia)	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. Kibbum Kang allows following entities to bill medicare on her behalf.

Entity Name	Gastroenterology Associates Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518990472 PECOS PAC ID: 2466449228 Enrollment ID: O20040426001345

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. Kibbum Kang 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
Kibbum Kang, NURSE PRACTITIONER One Gi Credentialing Department, Po Box 381468, Germantown, TN 38183-1468 Ph: () -	Kibbum Kang, NURSE PRACTITIONER 8640 Sudley Rd Ste 201, Manassas, VA 20110-4404 Ph: (703) 368-6819

Reviews and Comments

Nurse Practitioner Nurses in Manassas, VA

Susan Brien Campbell, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292 Fax: 703-396-5297
Shraddha Lamichhane, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10892 Caraway Cir, Manassas, VA 20109 Phone: 703-980-2783
Simon Oanhuk Choi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8551 Rixlew Ln Ste 140, Manassas, VA 20109 Phone: 703-361-4357
Helen Karellas Bardis, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9430 Forestwood Ln, Suite 100, Manassas, VA 20110 Phone: 703-365-0227
Shahnoza Mamatova, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9600 Godwin Dr, Manassas, VA 20110 Phone: 703-396-1064
Deepika Shrestha Rajbhandary, FNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6360 Hoadly Rd, Manassas, VA 20112 Phone: 703-897-4961
Christien Byun, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8700 Sudley Rd, Manassas, VA 20110 Phone: 703-396-5292

Kibbum Kang, NURSE PRACTITIONER - Medicare Nurse Practitioner in Manassas, VA