Kyongsook Kim, NP - Medicare Nurse Practitioner in Washington, DC

Kyongsook Kim, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Washington, District Of Columbia. Her current practice location is 1380 Southern Ave Se, Washington, District Of Columbia. You can reach out to her office (for appointments etc.) via phone at (202) 279-5880.

Kyongsook Kim is licensed to practice in District Of Columbia (license number RN962194) 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 1033181060.

Contact Information

Kyongsook Kim, NP
1380 Southern Ave Se,
Washington, DC 20032-4623
(202) 279-5880
Not Available

Map and Direction




Provider's Profile

Full NameKyongsook Kim
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location1380 Southern Ave Se, Washington, District Of Columbia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033181060
  • Provider Enumeration Date: 02/03/2006
  • Last Update Date: 04/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507841335
  • Enrollment ID: I20040623001679

Medical Identifiers

Medical identifiers for Kyongsook Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033181060NPI-NPPES
N54833OtherMDCDS
018733100MedicaidDC
R151075OtherMDDON

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology RN962194 (District Of Columbia)Primary
363LG0600XNurse Practitioner - Gerontology R151075 (Maryland)Secondary

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. Kyongsook Kim allows following entities to bill medicare on her behalf.
Entity NameM Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780056168
PECOS PAC ID: 7719278597
Enrollment ID: O20160627000350

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. Kyongsook 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
Kyongsook Kim, NP
18500 New Hampshire Ave,
Ashton, MD 20861-9788

Ph: (240) 330-0999
Kyongsook Kim, NP
1380 Southern Ave Se,
Washington, DC 20032-4623

Ph: (202) 279-5880

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.